NPIMap

Organization Active NPI

Pediatric Services of America, Inc

Doing business as PSA Healthcare

  • Home Health Agency
  • Wellsboro, PA
National Provider Identifier
1235322983
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03080501 Issued in PA
Legal business name
PEDIATRIC SERVICES OF AMERICA, INC
Doing business as
PSA Healthcare
Practice address
16 Pearl St
Wellsboro, PA 16901-1500
Phone
(570) 724-5989
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Dale ValentineNPI 1306915590
Title
VP Compliance Officer
Phone
(770) 248-8757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03080501 PA Primary

Addresses

Primary practice location

16 Pearl St
Wellsboro, PA 16901-1500

Mailing address

310 Technology Pkwy
Norcross, GA 30092-2932
Phone (770) 441-1580

Other names 1

  • PSA Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Services of76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

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": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1235322983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 TECHNOLOGY PKWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922932",
            "telephone_number": "770-441-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PEARL ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011500",
            "telephone_number": "570-724-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "VP COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "770-248-8757"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "03080501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSA Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.