Active NPI
Alison Niblick
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnutport, PA
National Provider Identifier
1134879059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ALISON NIBLICK
- Practice address
- 4011 Schaeffer Dr
Walnutport, PA 18088-9593 - Phone
- (484) 714-0376
- NPI assigned
- Mar 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alison Niblick, PSYD
- Title
- Licensed Psychologist, Business Own
- Phone
- (484) 714-0376
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4011 Schaeffer Dr
Walnutport, PA 18088-9593
Mailing address
4011 Schaeffer Dr
Walnutport, PA 18088-9593
Phone (484) 714-0376
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Walnutport, PA
- NPI 1801216296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648080000000",
"number": "1134879059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 SCHAEFFER DR",
"city": "WALNUTPORT",
"state": "PA",
"postal_code": "180889593",
"telephone_number": "484-714-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 SCHAEFFER DR",
"city": "WALNUTPORT",
"state": "PA",
"postal_code": "180889593",
"telephone_number": "484-714-0376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALISON NIBLICK",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A",
"authorized_official_last_name": "NIBLICK",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, BUSINESS OWN",
"authorized_official_telephone_number": "484-714-0376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnutport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.