Timothy H Derstine (NPI# 1629076534, PAC ID# 2466355813) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1629076534 |
| PAC ID by PECOS | 2466355813 |
| Professional Enrollment ID | I20100819000458 |
| Full Name | Timothy H Derstine |
| Address |
315 S Allen St Suite 216 State College PA 16801-4850 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390268 | MOUNT NITTANY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 S Allen St, Suite 216, State College, PA 16801-4850 |
| Street Address |
315 S ALLEN ST SUITE 216 |
| City | STATE COLLEGE |
| State | PA |
| Zip | 16801-4850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence T Clayton | Psychologist, Clinical | Child Adult and Family Psychological Center PC | 315 S Allen St, Suite 218, State College, PA 16801-4850 |
| Dennis Heitzmann | Psychologist, Clinical | Child Adult and Family Psychological Center PC | 315 S Allen St, Suite 218, State College, PA 16801-4850 |
| Mark E Davison | Podiatry | 315 S Allen St, Suite 118, State College, PA 16801-4848 | |
| John R Erickson | Psychologist, Clinical | 315 S Allen St, Suite 421, State College, PA 16801-4852 | |
| Nancy Chiswick | Psychologist, Clinical | Child Adult and Family Psychological Center PC | 315 S Allen St, Suite 218, State College, PA 16801-4850 |
| Jeffrey S Jackson | Clinical Psychologist | Child Adult and Family Psychological Center PC | 315 S Allen St, Suite 218, State College, PA 16801-4850 |
| Mary A Boutselis | Clinical Psychologist | Child Adult and Family Psychological Center PC | 315 S Allen St, Suite 218, State College, PA 16801-4850 |
| Abdollah Nabavi | Psychiatry | 315 S Allen St, State College, PA 16801-4850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Flick | Physical Therapy | 2766 W College Ave, Suite 300, State College, PA 16801-2647 | |
| Gregory A Edwards | Chiropractic | 2766 W College Ave, Suite 200, State College, PA 16801-2647 | |
| Sharon L Pletcher | Podiatry | Sharon L. Pletcher, P.C., Inc | 1318 W College Ave, Family Foot Center, State College, PA 16801-2711 |
| Connie Gay Powell | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Khytam Dawood | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Nancy C Van Saun | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Jeremiah Hicks | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Michael M Keil | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Leta F Myers | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Craig D Brummert | Chiropractic | 3051 Enterprise Dr, State College, PA 16801-2756 | |
| Find all physicians in zip 16801 | |||
| City | STATE COLLEGE |
| Zip Code | 16801 |
| Specialty | PSYCHIATRY |
| City + Specialty | STATE COLLEGE + PSYCHIATRY |
Please comment or provide details below to improve the information on Timothy H Derstine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.