Organization Active NPI

Alison Niblick

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnutport, PA
National Provider Identifier
1134879059
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Dr. Alison Niblick, PSYDNPI 1801216296
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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.