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Dr. Troy W Lea , PhD

Psychologist β€’ Newark, DE

Active NPI 1174036560 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

523 Capitol Trl Ste B
Newark, DE 197113859

Call 3023572057 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

523 Capitol Trl Ste B

Newark, DE 197113859

Telephone 3023572057
Fax 3023043985
Organization at the Same NPPES Address or Phone
Proficient Mind And Wellness Clinic Llc Facility NPI 1811849581

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Lea has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Lea as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Newark and Delaware

34 active clinicians are listed under Psychologist with a practice address in Newark, DE (151 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

41.2% of these 34 clinicians have the CMS telehealth indicator.

47.1% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-11
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES DE B1-0001124

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20180226001265

Enrollment State Jurisdiction

DE

PECOS Control ID

7315208832

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 11, 2020

Registered at 523 CAPITOL TRL STE B, NEWARK, DE 197113859 (Tel: 3023572057)

πŸ“
Updated Business Mailing Address November 11, 2020

Registered at 523 CAPITOL TRL STE B, NEWARK, DE 197113859 (Tel: 3023572057)

πŸ“
Updated Practice Location November 20, 2019

Registered at 724 YORKLYN RD STE 315, HOCKESSIN, DE 19707 (Tel: 3023572057)

πŸ“
Updated Business Mailing Address November 20, 2019

Registered at 724 YORKLYN RD STE 315, HOCKESSIN, DE 197078733 (Tel: 3023572057)

βœ…
NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 08, 2017

Registered at 300 BIDDLE AVE STE 207, NEWARK, DE 197023972 (Tel: 3022241400)

πŸ“
Business Mailing Address (Initial Record) November 08, 2017

Registered at 910 S CHAPEL ST STE 102, NEWARK, DE 197133468

πŸ‘€
Provider Name / Credentials (Initial Record) November 08, 2017

Recorded as TROY LEA, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Psychologist (license number reported to NPPES: DE B1-0001124)

🟒
Initial NPI Registration & Enumeration November 08, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174036560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2017
Last Update: November 11, 2020
Sole Proprietor: No

Other Psychologists in Newark

All Psychologists in Newark

Mailing Address

523 Capitol Trl Ste B

Newark, DE 197113859

Phone: 3023572057

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.