Sean Patrick Garred, MED LPC CRC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS007054L Issued in PA

Practice address

150 W Dubois Avenue
Juniata Place
Du Bois, PA 15801-1967

Phone

(814) 375-7090

Fax

(814) 375-7940

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Behavioral Advancements of Dubois

  • Psychologist
  • Dubois, PA
  • NPI 1497928154
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316070600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVENUE",
            "address_2": "JUNIATA PLACE SUITE B",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011967",
            "telephone_number": "814-375-7090",
            "fax_number": "814-375-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W DUBOIS AVENUE",
            "address_2": "JUNIATA PLACE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011967",
            "telephone_number": "814-375-7090",
            "fax_number": "814-375-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRED",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MED LPC CRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007054L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017312240003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "489548",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER BLUE",
            "identifier": "GA1341410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Gallegos, MA
• Tonya L Gallup
• Justin W Galosi, BA
• Edgar Bonchita Gantalao, M.D.
• Elaine J Garred, CRNA
• Brian M Gates, DO
• Gateway Area Medical PCP
• Gateway Area Medical Spec
• Rachel Sabina Gearhart, PA
• Victoria Geist, LSW

• Psychologist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.