Keystone Renaissance Family Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003830L Issued in PA

Legal business name

KEYSTONE RENAISSANCE FAMILY SERVICES

Practice address

215 Hickory St
Scranton, PA 18505-9208

Phone

(570) 702-8500

Fax

(570) 702-8575

NPI assigned

May 18, 2012

Last updated

Mar 4, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

RENAISSANCE PSYCHOLOGICAL AND COUNSELING CORPORATIOM, INC.As reported in NPPES

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

Authorized official

Name

Dr. John A Reinhardt, PH.D.NPI 1609816529

Title

President

Phone

(570) 702-8500

Specialties & licenses 1

Addresses

Part of

Keystone Renaissance Family Services

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.

• John A Reinhardt, PH D

  • Clinical Psychologist
  • Scranton, PA
  • NPI 1609816529
  NPD (past) Authorized official

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1073873485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HICKORY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185059208",
            "telephone_number": "570-702-8500",
            "fax_number": "570-702-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HICKORY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185059208",
            "telephone_number": "570-702-8500",
            "fax_number": "570-702-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE RENAISSANCE FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENAISSANCE PSYCHOLOGICAL AND COUNSELING CORPORATIOM, INC.",
        "enumeration_date": "2012-05-18",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "REINHARDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-702-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003830L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Jamshid Khademi, MD
• Shahab Khademi, D.O.
• Gurkaramjit Singh Khaira, MBBS
• Rajni Khaira
• Upinder Khaira

• Psychologist in Scranton, PA
• Providers in Scranton, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.