NPIMap

Organization Active NPI

Downtown Counseling Center LLC

  • Clinical Psychologist
  • Carlisle, PA
National Provider Identifier
1013443936
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018253 Issued in PA
Legal business name
DOWNTOWN COUNSELING CENTER LLC
Practice address
155 S Hanover St
Carlisle, PA 17013-3455
Phone
(301) 275-0506
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Cynthia E Bartok, PHDNPI 1861506925
Title
Clinical Psychologist, Owner
Phone
(301) 275-0506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS018253 PA Primary

Addresses

Primary practice location

155 S Hanover St
Carlisle, PA 17013-3455

Mailing address

155 S Hanover St
Carlisle, PA 17013-3455
Phone (301) 275-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170803003168 PA Part B Supplier - Clinic/Group Practice 6800167255 Receives reassigned benefits from 11 practitioners
Practice locations: Camp Hill, PA; Carlisle, PA

National Provider Directory

National Provider Directory

Locations

412 Erford Rd
Camp Hill, PA 17011
Phone (717) 386-5971

155 S Hanover St
Ofc
Carlisle, PA 17013
Phone (717) 386-5971

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1013443936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133455",
            "telephone_number": "301-275-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S HANOVER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133455",
            "telephone_number": "301-275-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BARTOK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "301-275-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.