Michael R. Gildea PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

607049 Issued in PA

Legal business name

MICHAEL R. GILDEA PC

Practice address

88 N Bull Run Xing
Suite 6
Lewisburg, PA 17837-6725

Phone

(570) 522-8330

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Richard Gildea, M.S.ED., LPC, CAC

Title

Owner/Therapist

Phone

(570) 522-8330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1023200730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 N BULL RUN XING",
            "address_2": "SUITE 6",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376725",
            "telephone_number": "570-522-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 N BULL RUN XING",
            "address_2": "SUITE 6",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376725",
            "telephone_number": "570-522-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. GILDEA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "GILDEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "570-522-8330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.ED., LPC, CAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "607049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Mecum
• Medical Park Ear Nose & Throat LTD
• Alexis Kay Melhorn
• Dennis A Merkle, PA-C
• Linda S Messner, CRNP
• Virginia T Michael, M.ED, LPC
• Michelle a. Yearick, D.D.S., P.C.
• Mid Penn Anesthesia P.C.
• Mid River Counseling, LLC
• Mid-State Occupational Health Services, Inc.

• Community/Behavioral Health Agency in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.