NPIMap

Organization Active NPI

Misericordia University Speech-Language and Hearing Center

  • Early Intervention Provider Agency
  • Dallas, PA
National Provider Identifier
1013221498
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SL003615L Issued in PA
Legal business name
MISERICORDIA UNIVERSITY SPEECH-LANGUAGE AND HEARING CENTER
Practice address
301 Lake St
Dallas, PA 18612-1008
Phone
(570) 674-8050
Fax
(570) 255-3375
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Mr. John Risboskin
Title
Vise President Finance and Administ
Phone
(570) 674-6324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SL003615L PA Primary

Addresses

Primary practice location

301 Lake St
Dallas, PA 18612-1008

Mailing address

301 Lake St
Dallas, PA 18612-1008
Phone (570) 674-8050

National Provider Directory

National Provider Directory
Tax ID family
Misericordia University Speech-Language and Hearing Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1013221498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LAKE ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121008",
            "telephone_number": "570-674-8050",
            "fax_number": "570-255-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LAKE ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121008",
            "telephone_number": "570-674-8050",
            "fax_number": "570-255-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISERICORDIA UNIVERSITY SPEECH-LANGUAGE AND HEARING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "RISBOSKIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VISE PRESIDENT FINANCE AND ADMINIST",
        "authorized_official_telephone_number": "570-674-6324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "SL003615L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.