Active NPI
Psychological Consultants
- Adult Health Nurse Practitioner
- Mount Carmel, PA
National Provider Identifier
1205210903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- PSYCHOLOGICAL CONSULTANTS
- Practice address
- 603 W 5TH St
Mount Carmel, PA 17851-1803 - Phone
- (570) 875-8058
- Fax
- (570) 554-4357
- NPI assigned
- Jul 13, 2015
- 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
- Joan M. Pitingolo Cicchiello, PMHNP
- Title
- Executive Director
- Phone
- (570) 875-9434
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| General Practice Registered Nurse | 163WG0000X | TP006931C | PA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | SP009838 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
603 W 5TH St
Mount Carmel, PA 17851-1803
Mailing address
1050 S George St
York, PA 17403-3638
Phone (570) 875-8058
National Provider Directory
National Provider Directory- Tax ID family
- Psychological Consulatants
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Carmel, PA
- NPI 1083099295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440028800000",
"number": "1205210903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174033638",
"telephone_number": "570-875-8058",
"fax_number": "570-554-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W 5TH ST",
"city": "MOUNT CARMEL",
"state": "PA",
"postal_code": "178511803",
"telephone_number": "570-875-8058",
"fax_number": "570-554-4357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-13",
"last_updated": "2015-08-20",
"status": "A",
"authorized_official_last_name": "CICCHIELLO",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "M. PITINGOLO",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "570-875-9434",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "PA",
"license": "TP006931C",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "SP009838",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Carmel, PA
- Psych Consultants Berk-Lehigh
- Psych Consultants in Luzerne Valley
- Psych Consultants of Berks County
- Psych Consultants of Lehigh Valley
- Psychological Consulatants
- Alyssa Marie Randall, NCC, LPC
- Rcaa Health Services, Inc.
- Safety Net Counseling, Inc
- Allan A Santarelli, M.A.
- Rebecca Susanna Schu, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.