NPIMap

Organization Active NPI

Conemaugh Health Initiatives

Doing business as Conemaugh Psychological Services

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1326041906
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006299L Issued in PA
Legal business name
CONEMAUGH HEALTH INITIATIVES
Doing business as
Conemaugh Psychological Services
Practice address
1450 Scalp Ave
Johnstown, PA 15904-3374
Phone
(814) 262-4236
Fax
(814) 262-0610
NPI assigned
May 27, 2005
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Elaine M Lambert
Title
President
Phone
(814) 534-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS006299L PA Primary

Addresses

Primary practice location

1450 Scalp Ave
Johnstown, PA 15904-3374

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300

Other identifiers 1

IdentifierTypeStateIssuer
100735811MedicaidPA

Other names 1

  • Conemaugh Psychological Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conemaugh Health Initiatives38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1326041906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043374",
            "telephone_number": "814-262-4236",
            "fax_number": "814-262-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH HEALTH INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-534-1630"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006299L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735811",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conemaugh Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2010; 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.