BEAVER COUNTY PSYCHIATRIC SERVICES, PC (NPI# 1710910310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910310 |
| Entity Type | Organization |
| Organization Name | BEAVER COUNTY PSYCHIATRIC SERVICES, PC |
| Practice Address |
219 Third Street Beaver PA 15009 |
| Practice Telephone | 7247759150 |
| Practice Fax Number | 7247759153 |
| Mailing Telephone | 7247759150 |
| Mailing Fax Number | 7247759153 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. SUZANNE E VOGEL-SCIBILIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7247759150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE SHIELD | 632129 | 01 |
| PA | BLUE SHIELD | 879856 | 01 |
| PA | BLUE SHIELD | 663929 | 01 |
| PA | RAILROAD MEDICARE | CI4079 | 01 |
| PA | 1249301 | 05 |
| Street Address |
219 THIRD STREET |
| City | BEAVER |
| State | PA |
| Zip Code | 15009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285745117 | Joseph R Truskowski | Nurse Practitioner | 219 Third Street, Beaver, PA 15009-2301 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326033713 | Anne Rosemary Laforte | Psychiatry & Neurology | 219 3rd St, Beaver, PA 15009-2301 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942828421 | George L Rodriguez Md PC | Psychiatry & Neurology | 6778 Market St, Upper Darby, PA 19082-2432 | 2020-07-10 |
| 1316441017 | Jb Pain Free Md Pllc | Psychiatry & Neurology | 601 Cornerstone Ln, Bryn Mawr, PA 19010-2073 | 2018-03-19 |
| 1871713370 | Daniel Gruener | Psychiatry & Neurology | 2833 Tyson Ave, Philadelphia, PA 19149-1415 | 2007-04-26 |
| 1083793038 | Christina Lee Herring | Psychiatry & Neurology | 1030 E Lancaster Ave Apt L6, Bryn Mawr, PA 19010-1459 | 2006-11-02 |
| 1962596163 | Ajay D Wasan | Psychiatry & Neurology | 5750 Centre Ave, #260, Upmc Pain Medicine, Pittsburgh, PA 15206 | 2006-10-03 |
| 1558464404 | Alex D Perez | Psychiatry & Neurology | 296 E Brown St, Suite D, East Stroudsburg, PA 18301-3011 | 2006-09-06 |
| 1134114366 | Barry L Levine | Psychiatry & Neurology | 1738 N Highland Rd, Suite G-101, Pittsburgh, PA 15241-1200 | 2005-09-14 |
| 1326049388 | Pa Institute of Neurological Disorder PC | Psychiatry & Neurology | 512 Market St, Sunbury, PA 17801-2338 | 2005-08-02 |
| 1912371048 | Core Performance Physicians | Psychiatry & Neurology | 1200 Constitution Ave, Suite 110, Philadelphia, PA 19112-1329 | 2015-12-01 |
| 1629222773 | Melvin Singer, M.d. P.a. | Psychiatry & Neurology | 906 Centennial Rd, Narberth, Penn Valley, PA 19072-1408 | 2008-11-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEAVER COUNTY PSYCHIATRIC SERVICES, PC.
| 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.