PEDIATRIC CARE SPECIALISTS (NPI# 1124310586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124310586 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE SPECIALISTS |
| Practice Address |
1322 Eisenhower Blvd Pediatric Care Specialists Johnstown PA 15904 |
| Practice Telephone | 8142668840 |
| Practice Fax Number | 8142662176 |
| Mailing Telephone | 8142668840 |
| Mailing Fax Number | 8142662176 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MS. PATRICIA LYNN AVRAMIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 8142668840 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC CARE SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | CW015802 | PA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PS016634 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007708200003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236833 | Pediatric Care Specialists | Clinic/Center | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2005-09-21 |
| Street Address |
1322 EISENHOWER BLVD PEDIATRIC CARE SPECIALISTS |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236833 | Pediatric Care Specialists | Clinic/Center | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2005-09-21 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1578192969 | Christopher Raymond Kebberly | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-04-07 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| 1326601659 | Sean D Riek | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2019-04-22 |
| 1619457116 | Morgan Zucchino | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-08-15 |
| 1528544418 | Taylor M King-brothers | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-07-14 |
| 1033695929 | Josie F Helsel | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2018-07-14 |
| 1396275962 | Kelly Emswiler | Nurse Practitioner | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2017-06-15 |
| 1659814432 | Kristen Moot | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2016-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740845585 | Phillipe Kleefield | Psychologist | 1765 Goucher St # 150, Johnstown, PA 15905-1101 | 2019-05-07 |
| 1669780136 | James Dale Harrington | Psychologist | 2447 Bedford St Ste 100, Johnstown, PA 15904-1405 | 2010-09-18 |
| 1376600320 | James Cochran | Psychologist | 1405 Eisenhower Blvd Ste 106, Johnstown, PA 15904-3200 | 2007-01-02 |
| 1013931583 | Jennifer Dawn White | Psychologist | 207 Sunapee Dr, Johnstown, PA 15904-3615 | 2006-07-27 |
| 1982654935 | Mary B Berge | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-05-11 |
| 1316923568 | Children's Paraclete | Psychologist | 227 Franklin St, Suite 300, Johnstown, PA 15901-1916 | 2005-12-20 |
| 1598750093 | Alan Harvey Teich | Psychologist | 2240 Spear Avenue, Johnstown, PA 15905-1646 | 2005-09-12 |
| 1659982312 | Jeremy T. Sharp, Ph.d., LLC | Psychologist | 4435 Ronald Reagan Blvd, Johnstown, CO 80534-6566 | 2020-08-14 |
| 1881202596 | Michael Davis | Psychologist | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-07-20 |
| 1497102933 | Tiffani Martin | Psychologist | 305 W South 1st St, Johnstown, CO 80534-9086 | 2016-05-13 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.