Organization Active NPI

Fitzmaurice Community Services Inc

  • Psychiatry Physician
  • Stroudsburg, PA
National Provider Identifier
1316015530
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FITZMAURICE COMMUNITY SERVICES INC
Practice address
2115 N 5TH St
Stroudsburg, PA 18360-2801
Phone
(570) 424-6223
NPI assigned
Dec 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Elizabeth Koster
Title
President
Phone
(570) 424-6223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary
Community/Behavioral Health Agency 251S00000X PA

Addresses

Primary practice location

2115 N 5TH St
Stroudsburg, PA 18360-2801

Mailing address

2115 N 5TH St
Stroudsburg, PA 18360-2801
Phone (570) 424-6223

Other identifiers 1

IdentifierTypeStateIssuer
1000017620061MedicaidPA

National Provider Directory

National Provider Directory

Locations

2115 N 5th St
Stroudsburg, PA 18360
Phone (570) 424-3208

Practitioners & affiliated clinicians

Practitioners 3

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316015530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N 5TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602801",
            "telephone_number": "570-424-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N 5TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602801",
            "telephone_number": "570-424-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZMAURICE COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-424-6223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017620061",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.