Behavioral Medicine Associates of Northeastern Lennsylvania, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD435626 Issued in PA

Legal business name

BEHAVIORAL MEDICINE ASSOCIATES OF NORTHEASTERN LENNSYLVANIA, LLC

Practice address

480 Pierce St Ste 303
Kingston, PA 18704-5512

Phone

(570) 690-5159

NPI assigned

May 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Francisco Salas Guerra

Title

Business Manager

Phone

(570) 690-5159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023545696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST STE 303",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-690-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST STE 303",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-690-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL MEDICINE ASSOCIATES OF NORTHEASTERN LENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SALAS GUERRA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "570-690-5159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD435626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Barno, PT
• Kevin Barno, PT
• Jamil Jawaid Bashir, M.D.
• Tiffany Anne Becker, M.D.
• Thomas Bednarek, MD
• Kimberly A Bell, RVT
• Karen Benjamin, LSW
• William F Bergeron III, D.D.S.
• David Alan Bergey, D.D.S.01
• Michelle Lauren Berley Gross, MS

• Psychiatry Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.