Upward Bound Psychiatry & Psychotherapy Services Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD048681L Issued in PA

Legal business name

UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC

Practice address

4800 Linglestown Rd
Ste 303
Harrisburg, PA 17112

Phone

(717) 545-1427

Fax

(717) 545-1428

NPI assigned

Mar 28, 2006

Last updated

Aug 22, 2020By 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

Mrs. Ingrid S Jobe, BS

Title

Administrator

Phone

(717) 545-1427

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Frederick E Henry, MSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1093713653
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053372417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 FOREST LANE",
            "city": "HAMSBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-541-0659",
            "fax_number": "717-545-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINGLESTOWN RD",
            "address_2": "STE 303",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-545-1427",
            "fax_number": "717-545-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOBE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "717-545-1427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD048681L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1560885",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50023462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.