Active NPI
Menta Psychological, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indiana, PA
National Provider Identifier
1174092142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MENTA PSYCHOLOGICAL, LLC
- Practice address
- 520 Philadelphia St # 10
Indiana, PA 15701-3902 - Phone
- (724) 422-0593
- Fax
- (973) 629-1694
- NPI assigned
- Nov 19, 2018
- 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
- Carolyn Menta, PSYD
- Title
- Owner
- Phone
- (724) 422-0593
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
520 Philadelphia St # 10
Indiana, PA 15701-3902
Mailing address
520 Philadelphia St # 10
Indiana, PA 15701-3902
Phone (724) 422-0593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
520 Philadelphia St
#10
Indiana, PA 15701
Phone (724) 422-0593
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Indiana, PA
- NPI 1134128507
-
- Clinical Social Worker
- Indiana, PA
- NPI 1861088825
-
- Professional Counselor
- Indiana, PA
- NPI 1982018859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1174092142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PHILADELPHIA ST # 10",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013902",
"telephone_number": "724-422-0593",
"fax_number": "973-629-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 PHILADELPHIA ST # 10",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013902",
"telephone_number": "724-422-0593",
"fax_number": "973-629-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTA PSYCHOLOGICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-19",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "MENTA",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-422-0593",
"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 Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.