Organization Active NPI

Judith Kriskie

  • Community/Behavioral Health Agency
  • Mount Carmel, PA
National Provider Identifier
1063720407
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW12963 Issued in PA
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

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Judith Kriskie, LCSWNPI 1659303451
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.