Organization Active NPI

Children's Paraclete

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1316923568
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CHILDREN'S PARACLETE
Practice address
227 Franklin St
Suite 300
Johnstown, PA 15901-1916
Phone
(814) 539-9636
Fax
(814) 535-4497
NPI assigned
Dec 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John D Bixler, PH.D.
Title
Ceo/President
Phone
(814) 539-9636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

227 Franklin St
Suite 300
Johnstown, PA 15901-1916

Mailing address

227 Franklin St
Suite 300
Johnstown, PA 15901-1916
Phone (814) 539-9636

Other identifiers 2

IdentifierTypeStateIssuer
001650500-001OtherPAMEDICAL ASSISTANCE
BI1783335OtherPAHIGHMARK BLUE SHIELD PROV

National Provider Directory

National Provider Directory

Locations

227 Franklin St
Ste 300
Johnstown, PA 15901
Phone (814) 539-9636

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316923568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FRANKLIN ST",
            "address_2": "SUITE 300",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011916",
            "telephone_number": "814-539-9636",
            "fax_number": "814-535-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FRANKLIN ST",
            "address_2": "SUITE 300",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011916",
            "telephone_number": "814-539-9636",
            "fax_number": "814-535-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PARACLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIXLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "814-539-9636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "001650500-001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD PROV",
            "identifier": "BI1783335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.