Main Street Counseling, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS018063 Issued in PA

Legal business name

MAIN STREET COUNSELING, LLC

Practice address

2076 W Main St
Jeffersonville, PA 19403-3067

Phone

(484) 213-4513

Fax

(610) 539-3024

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joanne Coyle, PSY.D.

Title

Director/Owner

Phone

(484) 213-4513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1083067680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033067",
            "telephone_number": "484-213-4513",
            "fax_number": "610-539-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033067",
            "telephone_number": "484-213-4513",
            "fax_number": "610-539-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "484-213-4513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HRPC
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• Huub Jozef Mulders, MD
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• Lindsay Anne Phillips, PSY.D.
• Ruth Rincker, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.