NPIMap

Organization Active NPI

Butler Wellness Support Services

  • Psychologist
  • Butler, PA
National Provider Identifier
1083799258
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008242L Issued in PA
Legal business name
BUTLER WELLNESS SUPPORT SERVICES
Practice address
349 N McKean St
Butler, PA 16001-4928
Phone
(724) 282-0332
Fax
(724) 282-2406
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Susan Drolet, PSYD
Title
Owner/Psychologist
Phone
(724) 282-0332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS008242L PA Primary

Addresses

Primary practice location

349 N McKean St
Butler, PA 16001-4928

Mailing address

349 N McKean St
Butler, PA 16001-4928
Phone (724) 282-0332

Other identifiers 1

IdentifierTypeStateIssuer
1589625OtherPAHIGHMARK

Other names 1

  • Wellness Works Other name

National Provider Directory

National Provider Directory
Tax ID family
Butler Wellness Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1083799258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 N MCKEAN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014928",
            "telephone_number": "724-282-0332",
            "fax_number": "724-282-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MCKEAN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014928",
            "telephone_number": "724-282-0332",
            "fax_number": "724-282-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER WELLNESS SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DROLET",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "724-282-0332",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008242L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1589625",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Works",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.