Organization Active NPI

Adelphoi Village, Inc.

  • Psychologist
  • Latrobe, PA
National Provider Identifier
1013034750
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ADELPHOI VILLAGE, INC.
Practice address
1119 Village Way
Latrobe, PA 15650-5201
Phone
(724) 520-1111
Fax
(724) 520-1878
NPI assigned
Mar 26, 2007
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Leigh Hershberger
Title
Revenue Cycle Manager
Phone
(724) 804-7193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1119 Village Way
Latrobe, PA 15650-5201

Mailing address

1119 Village Way
Latrobe, PA 15650-5201
Phone (724) 520-1111

Other practice location 1

205 Fogel St
Hollidaysburg, PA 16648-3102
Phone (724) 520-1111

Other practice location 2

557 Manor Dr
Ebensburg, PA 15931-4918
Phone (724) 520-1111

Other practice location 3

112 Porter Ave
Connellsville, PA 15425-4024
Phone (724) 520-1111

National Provider Directory

National Provider Directory
Tax ID family
Adelphoi Village Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

557 Manor Dr
Ebensburg, PA 15931
Phone (724) 520-1111

205 Fogel St
Hollidaysburg, PA 16648
Phone (724) 520-1111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1013034750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 VILLAGE WAY",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505201",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 VILLAGE WAY",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505201",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Fogel St",
            "address_purpose": "LOCATION",
            "city": "Hollidaysburg",
            "state": "PA",
            "postal_code": "166483102",
            "country_code": "US",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "159314918",
            "country_code": "US",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Connellsville",
            "state": "PA",
            "postal_code": "154254024",
            "country_code": "US",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADELPHOI VILLAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "724-804-7193"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.