Active NPI
Judith Kriskie
- Community/Behavioral Health Agency
- Mount Carmel, PA
National Provider Identifier
1063720407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CW12963
- Legal business name
- JUDITH KRISKIE
- Practice address
- 129 E 5TH St
Mount Carmel, PA 17851-2175 - Phone
- (570) 339-1828
- Fax
- (570) 339-1924
- NPI assigned
- Sep 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Kriskie, LCSW
- Title
- Proprietor
- Phone
- (570) 875-4103
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CW12963 | PA | Primary |
Addresses
Primary practice location
129 E 5TH St
Mount Carmel, PA 17851-2175
Mailing address
PO Box 45
613 McKnight Street
Gordon, PA 17936-0045
Phone (570) 875-4103
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Pottsville, PA
- NPI 1659303451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1063720407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45",
"address_2": "613 MCKNIGHT STREET",
"city": "GORDON",
"state": "PA",
"postal_code": "179360045",
"telephone_number": "570-875-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E 5TH ST",
"city": "MOUNT CARMEL",
"state": "PA",
"postal_code": "178512175",
"telephone_number": "570-339-1828",
"fax_number": "570-339-1924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH KRISKIE",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "KRISKIE",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "570-875-4103",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "CW12963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.