Organization Active NPI

St Michaels Harbour Inc

  • Psychologist
  • Sharon, PA
National Provider Identifier
1275641912
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ST MICHAELS HARBOUR INC
Practice address
87 Stambaugh Ave
Ste 5
Sharon, PA 16146
Phone
(724) 982-0414
Fax
(724) 982-4407
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Deborah V Mikita, MA
Title
Psychologist Owner
Phone
(724) 982-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

87 Stambaugh Ave
Ste 5
Sharon, PA 16146

Mailing address

PO Box 840
87 Stambaugh Ave Ste 5
Sharon, PA 16146
Phone (724) 982-0414

National Provider Directory

National Provider Directory

Locations

87 Stambaugh Ave
Ste 5
Sharon, PA 16146
Phone (412) 981-7140

Practitioners & affiliated clinicians

Practitioners 4

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1275641912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "address_2": "87 STAMBAUGH AVE STE 5",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "16146",
            "telephone_number": "724-982-0414",
            "fax_number": "724-982-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STAMBAUGH AVE",
            "address_2": "STE 5",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "16146",
            "telephone_number": "724-982-0414",
            "fax_number": "724-982-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MICHAELS HARBOUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "MIKITA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "724-982-0414",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.