Individual provider Active NPI

Peter Andrew Arnett

  • Clinical Psychologist
  • University Park, PA
National Provider Identifier
1215946249
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS009119L Issued in PA
Practice address
314 Moore BLDG
University Park, PA 16802-3103
Phone
(814) 865-2191
Fax
(814) 863-1331
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Wisconsin School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

337 Moore Building
University Park, PA 16802-3103

352 Moore BLDG
University Park, PA 16802-3103
Phone (814) 404-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050309000124 PA Practitioner - Clinical Psychologist 2062466444 Reassigns benefits to 1 organization
Practice locations: University Park, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
The Pennsylvania State University CurrentSince Jun 15, 2021 Accepting new patients
The Pennsylvania State University CurrentSince Jun 15, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS009119L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

314 Moore BLDG
University Park, PA 16802-3103

Mailing address

314 Moore BLDG
University Park, PA 16802-3103
Phone (814) 865-2191

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
75990OtherPACIGNA BEHAVIORAL HEALTH
A334449BOtherPAEMPIRE BLUE CROSS BLUE SHIELD
100740OtherPACOMMUNITY CARE BEHAVORAL HEALTH
1434927OtherPAHIGHMARK BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2008.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1215946249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191",
            "fax_number": "814-863-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MOORE BLDG",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "168023103",
            "telephone_number": "814-865-2191",
            "fax_number": "814-863-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNETT",
        "first_name": "PETER",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009119L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "75990",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SHIELD",
            "identifier": "A334449B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE BEHAVORAL HEALTH",
            "identifier": "100740",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1434927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, PA

Sources for this page

Verify at the official NPI Registry.