CENTRE PROFESSIONAL ASSOCIATES LLC (NPI# 1689025389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689025389 |
| Entity Type | Organization |
| Organization Name | CENTRE PROFESSIONAL ASSOCIATES LLC |
| Practice Address |
315 S Allen St Ste 216 State College PA 16801-4849 |
| Mailing Address |
Po Box 1120 Lemont PA 16851-1120 |
| Practice Telephone | 8146899744 |
| Practice Fax Number | 8889818069 |
| Mailing Telephone | 8146899744 |
| Mailing Fax Number | 8889818069 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Authorized Official Name | DR. TIMOTHY DERSTINE (OWNER) |
| Authorized Official Telephone | 8146899744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD056013L | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD056013L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
315 S ALLEN ST STE 216 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076534 | Timothy Hans Derstine | Psychiatry & Neurology | 315 S Allen St, Suite 216, State College, PA 16801-4849 | 2005-07-13 |
| 1033650932 | Centre Counseling and Wellness, LLC | Counselor | 315 S Allen St, Suite 326, State College, PA 16801-4849 | 2017-03-13 |
| 1215300447 | Swanson Psychotherapy, P. C. | Community/Behavioral Health | 315 S Allen St, 318b, State College, PA 16801-4849 | 2015-11-10 |
| 1679963193 | Erickson Psychological Services LLC | Psychologist | 315 S Allen St, Suite 421, State College, PA 16801-4849 | 2015-02-04 |
| 1518197763 | Mark E. Daviosn Dpm | Podiatrist | 315 S Allen St, Suite 118, State College, PA 16801-4849 | 2009-07-22 |
| 1063583656 | Dennis E Heitzmann | Psychologist | 315 S Allen St, 218, State College, PA 16801-4849 | 2006-11-13 |
| 1871674648 | Abdollah Nabavi | Psychiatry & Neurology | 315 S Allen St, Suite 223, State College, PA 16801-4849 | 2006-10-18 |
| 1740379221 | Robert T Nix | Psychologist | 315 S Allen St, Suite 218, State College, PA 16801-4849 | 2006-10-12 |
| 1144319724 | Neal A Hemmelstein | Psychologist | 315 S Allen St, Suite 218, State College, PA 16801-4849 | 2006-10-12 |
| 1801988506 | Nancy R Chiswick | Psychologist | 315 S Allen St, Suite 218, State College, PA 16801-4849 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306359914 | Guiding Light Health PC | Psychiatry & Neurology | 1315 S Allen St Ste 104, State College, PA 16801-5923 | 2017-11-06 |
| 1801995642 | Hemanth Kumar Bhimasani | Psychiatry & Neurology | 321 Lois Ln, State College, PA 16801-2561 | 2006-09-21 |
| 1861507923 | Lynette Diane Turay | Psychiatry & Neurology | 320 Rolling Ridge Dr Ste 1, State College, PA 16801-7641 | 2006-08-20 |
| 1134141211 | Sreedevi Komarneni | Psychiatry & Neurology | 2214 N Atherton St, Suite 5, State College, PA 16803-1544 | 2006-07-24 |
| 1144293770 | Candace R Good | Psychiatry & Neurology | 320 Rolling Ridge Dr Ste 203, State College, PA 16801-7641 | 2006-02-13 |
| 1629076534 | Timothy Hans Derstine | Psychiatry & Neurology | 315 S Allen St, Suite 216, State College, PA 16801-4849 | 2005-07-13 |
| 1699773507 | Thomas Pearce Dauler | Psychiatry & Neurology | 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | 2005-07-13 |
| 1356349450 | Arthur John De Carle | Psychiatry & Neurology | 320 Rolling Ridge Drive, Suite 100, State College, PA 16801-7987 | 2005-07-12 |
| 1851398812 | Rasik B Lal | Psychiatry & Neurology | 119 S Burrowes St, Suite # 604, State College, PA 16801-3863 | 2005-07-06 |
| 1255827473 | Kristianne Carper | Psychiatry & Neurology | 1526 Martin St, State College, PA 16803-3058 | 2018-07-11 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on CENTRE PROFESSIONAL ASSOCIATES LLC.
| 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.