Organization Active NPI

Vassar Integrative Psychiatry PLLC

  • Psychiatry Physician
  • State College, PA
National Provider Identifier
1255266029
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
VASSAR INTEGRATIVE PSYCHIATRY PLLC
Practice address
330 Innovation Blvd Ste 205
State College, PA 16803-6611
Phone
(912) 250-5266
Fax
(888) 855-8190
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Katrina Denise Scannelli, PANPI 1912981143
Title
Physician Assistant-Contr/Employee
Phone
(912) 429-3749

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

330 Innovation Blvd Ste 205
State College, PA 16803-6611

Mailing address

274 Farnsleigh Ave
Bluffton, SC 29910-7954
Phone (912) 250-5266

National Provider Directory

National Provider Directory

Locations

330 Innovation Blvd
Ste 205
State College, PA 16803
Phone 2152452131105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1255266029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 FARNSLEIGH AVE",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107954",
            "telephone_number": "912-250-5266",
            "fax_number": "888-855-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 INNOVATION BLVD STE 205",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036611",
            "telephone_number": "912-250-5266",
            "fax_number": "888-855-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASSAR INTEGRATIVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "SCANNELLI",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT-CONTR/EMPLOYEE",
        "authorized_official_telephone_number": "912-429-3749",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.