Pediatric Care Specialists

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PEDIATRIC CARE SPECIALISTS

Practice address

1322 Eisenhower Blvd
Johnstown, PA 15904-3307

Phone

(814) 266-8840

Fax

(814) 266-8840

NPI assigned

Sep 21, 2005

Last updated

May 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri Lynn Parshall

Title

Billing Clerk

Phone

(814) 266-8840

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pediatric Care Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pediatric Care Specialists

  • Psychologist
  • Johnstown, PA
  • NPI 1124310586
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Pediatric Care Specialists

  • Psychologist
  • Johnstown, PA
  • NPI 1124310586
  NPPES parent name

Practitioners 37

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.

• Shannon Berkey, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1003438698
  Medicare reassignment Care Compare group NPD
• Venkata R Dharbhamulla, MD

  • Pediatrics Physician
  • Johnstown, PA
  • NPI 1033272513
  Medicare reassignment Care Compare group NPD
• Brianne Marie Harrington, LPC

  • Professional Counselor
  • Johnstown, PA
  • NPI 1477153344
  Medicare reassignment Care Compare group NPD
• Jodi Hockenberry, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1033637798
  Medicare reassignment Care Compare group NPD
• Sally Shaffer, LPC

  • Professional Counselor
  • Johnstown, PA
  • NPI 1932872264
  Medicare reassignment Care Compare group NPD
• Ian D Goncher, PSYD

  • Psychologist
  • Johnstown, PA
  • NPI 1891077129
  Medicare reassignment Care Compare group
• Tracy Tredennick, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1316116767
  Medicare reassignment Care Compare group
• Joshua Watt, PSY. D.

  • Psychologist
  • Johnstown, PA
  • NPI 1164720439
  Medicare reassignment Care Compare group
• Jessica Berkey, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1134773625
  Medicare reassignment NPD
• Kristen Ann Bollinger

  • Counselor
  • Johnstown, PA
  • NPI 1669819710
  Medicare reassignment NPD
• Bradley Russell Drennen, DO

  • Pediatrics Physician
  • Johnstown, PA
  • NPI 1215993340
  Medicare reassignment NPD
• Andrew A. Garbarino, MD

  • Pediatrics Physician
  • Johnstown, PA
  • NPI 1366503013
  Medicare reassignment NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1346236833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Rolling Acres Dr",
            "address_purpose": "LOCATION",
            "city": "Alum Bank",
            "state": "PA",
            "postal_code": "155218264",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 Georgian Pl",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155011613",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Main St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159011507",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Casale Ct",
            "address_purpose": "LOCATION",
            "city": "Ebensburg",
            "state": "PA",
            "postal_code": "159314118",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "PARSHALL",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "814-266-8840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "MD-039547-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007708200003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha J Pcola, PA-C
• Peaceful Heart Counseling
• Josephine Pearson
• Scott Edward Pearson, CRNA
• Pediatric Care Specialists
• Peerstar, LLC
• Peerstar,LLC
• Adriana Dietz Pellegrini, DO
• Brandi L Penatzer, PA
• Stefani Penatzer, LPC

• Multi-Specialty Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Multi-Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.