Organization Active NPI

Nurse Therapy LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Chambersburg, PA
National Provider Identifier
1124598073
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
NURSE THERAPY LLC
Practice address
375 Floral Ave Ste 108
Chambersburg, PA 17201-3443
Phone
(717) 603-1007
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Dr. Sherry Goertz, PHD, RN, PMHCNS,BCNPI 1245603943
Title
Owner
Phone
(717) 360-1007

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

375 Floral Ave Ste 108
Chambersburg, PA 17201-3443

Mailing address

900 Walker Rd
Chambersburg, PA 17202-9750
Phone (717) 360-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218001901 PA Part B Supplier - Clinic/Group Practice 9436583887 Receives reassigned benefits from 1 practitioner
Practice locations: Chambersburg, PA

National Provider Directory

National Provider Directory

Locations

375 Floral Ave
Ste 108
Chambersburg, PA 17201
Phone (717) 360-1007

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": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1124598073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALKER RD",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172029750",
            "telephone_number": "717-360-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 FLORAL AVE STE 108",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013443",
            "telephone_number": "717-603-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "GOERTZ",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-360-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RN, PMHCNS,BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.