Emery Behavioral Health Services, Inc

Organization Active NPI Clinical Psychologist · Sunbury, PA

NPI 1346570082 · NPPES record last updated Feb 22, 2011

Key facts

NPI
1346570082
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS015898 (PA)
Legal business name
EMERY BEHAVIORAL HEALTH SERVICES, INC
Practice address
235 Market St
Suite 2
Sunbury, PA 17801-3401
Phone
(570) 286-0987
Fax
(570) 286-0989
NPI assigned
Dec 31, 2009
Organization subpart
Yes
Parent organization (as reported)
EMERY BEHAVIORAL HEALTH SERVICES, INC

Authorized official

Name
Mr. Dustin Emery, MSED
Title
Vice President/Director of Operatio
Phone
(570) 522-0304

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

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

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Emery Behavioral Health Services Inc (2 organizations share this tax ID)
Part of
Emery Behavioral Health Services Inc

Locations

32 Whisper Creek Dr
Ste 7
Lewisburg, PA 17837
Phone (570) 522-0304

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP
103TC0700X PS015898 PA Yes
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
104100000X SW013397L PA
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
104100000X SW126648 PA
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X CW015380 PA

Addresses

Primary practice location

235 Market St
Suite 2
Sunbury, PA 17801-3401

Mailing address

32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone (570) 522-0304

Other identifiers

IdentifierTypeStateIssuer
1019047770002MedicaidPA
1019581500001MedicaidPA
1015177000001MedicaidPA
1019060380002MedicaidPA

Other providers in Sunbury, PA

All providers in Sunbury, PA · Clinical Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.