NPIMap

Organization Active NPI

Emery Behavioral Health Services, Inc.

  • Clinical Psychologist
  • Lewisburg, PA
National Provider Identifier
1144287301
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015898 Issued in PA
Legal business name
EMERY BEHAVIORAL HEALTH SERVICES, INC.
Practice address
32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone
(570) 522-0304
Fax
(570) 522-0475
NPI assigned
Apr 28, 2006
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Matthew Lynn Emery, PSY.D.NPI 1518998012
Title
Clinical Director
Phone
(570) 522-0304

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X PA
Professional Counselor 101YP2500X NU
Clinical Psychologist 103TC0700X PS015898 PA Primary
Social Worker 104100000X SW013397L PA
Social Worker 104100000X SW126648 PA
Social Worker 104100000X SW124503 PA
Clinical Social Worker 1041C0700X CW015380 PA

Addresses

Primary practice location

32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770

Mailing address

32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone (570) 522-0304

Other identifiers 6

IdentifierTypeStateIssuer
1019047770002MedicaidPA
1019060380002MedicaidPA
1022694370001MedicaidPA
1015177000001MedicaidPA
EM1824598OtherPAHIGHMARK BLUE SHIELD
1019581500001MedicaidPA

Other names 1

  • Dr. Matthew L. Emery, PsyD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070918000183 PA Part B Supplier - Clinic/Group Practice 7214021526 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisburg, PA; Sunbury, PA

National Provider Directory

National Provider Directory
Tax ID family
Emery Behavioral Health Services Inc2 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.

Locations

32 Whisper Creek Dr
Ste 7
Lewisburg, PA 17837
Phone (570) 522-0304

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1144287301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DR",
            "address_2": "SUITE 7",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-522-0304",
            "fax_number": "570-522-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DR",
            "address_2": "SUITE 7",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-522-0304",
            "fax_number": "570-522-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "570-522-0304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015898",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013397L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126648",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124503",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015380",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019047770002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019060380002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022694370001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015177000001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "EM1824598",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019581500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Matthew L. Emery, PsyD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.