BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, P.C. (NPI# 1164441382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164441382 |
| Entity Type | Organization |
| Organization Name | BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, P.C. |
| Practice Address |
716 N Park Rd Wyomissing PA 19610-2912 |
| Practice Telephone | 6103750544 |
| Practice Fax Number | 6103789779 |
| Mailing Telephone | 6103750544 |
| Mailing Fax Number | 6103789779 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-12-29 |
| Authorized Official Name | TRISH REPPERT (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6103750544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| N | 101Y00000X | Counselor | RN193502L | PA | Behavioral Health & Social Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP010562 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
716 N PARK RD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558300244 | Mark A Putnam | Psychiatry & Neurology | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2006-06-06 |
| 1669073979 | Elizabeth Sarah Keller | Social Worker | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2020-11-03 |
| 1801445218 | Cheryl S Derr | Nurse Practitioner | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2019-09-09 |
| 1700349990 | Kianna Fiscus | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2019-04-13 |
| 1942784301 | Laura Jean Schwendeman | Physician Assistant | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2018-09-21 |
| 1780075184 | Christine Marie Katzaman | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2015-02-07 |
| 1881082212 | Brian Richardson | Counselor | 716 N Park Rd, Ste 1, Wyomissing, PA 19610-2912 | 2015-01-08 |
| 1154752350 | Kevin Bowman | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2013-12-12 |
| 1710239272 | Erica Paige Hesselson | Social Worker | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2012-10-09 |
| 1699051938 | Jillian Gosselin | Counselor | 716 N Park Rd, Wyomissing, PA 19610-2912 | 2011-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| 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 |
|---|---|---|---|---|
| 1194892471 | Tower Health Medical Group | Psychologist | 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610-3221 | 2006-11-29 |
| 1922106715 | Phillip J. Tietbohl | Psychologist | 232 Logan Ave, Wyomissing, PA 19610-2673 | 2006-09-20 |
| 1043867856 | Joseph Lesko | Psychologist | 2201 Ridgewood Rd Ste 400, Wyomissing, PA 19610-1193 | 2019-08-26 |
| 1104268101 | Aimee N Adams | Psychologist | 2201 Ridgewood Rd, Suite 400, Wyomissing, PA 19610-1189 | 2013-07-19 |
| 1205103314 | Michelle Leoma Coleman | Psychologist | 2802 Papermill Rd, Post Acute Care Center, Wyomissing, PA 19610-1065 | 2011-11-18 |
| 1609153808 | Nora Maidansky | Psychologist | 4 Park Plz, Suite 204a, Wyomissing, PA 19610-1398 | 2011-11-16 |
| 1598061749 | Michele A. Pole | Psychologist | 2201 Ridgewood Rd, Ste. 400, Wyomissing, PA 19610-1189 | 2011-02-07 |
| 1053549790 | Farah Moyer | Psychologist | 50 Commerce Dr, Wyomissing, PA 19610-3335 | 2009-07-01 |
| 1891923009 | Brandon Alan Sands | Psychologist | 9 Bristol Ct, Wyomissing, PA 19610-1851 | 2009-06-25 |
| 1346469764 | Barbara Jeanne Piazza | Psychologist | 938 Penn Ave, Wyomissing, PA 19610-3017 | 2007-04-24 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, P.C..
| 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.