NPIMap

Organization Active NPI

Emery Behavioral Health Services, Inc

  • Clinical Psychologist
  • Sunbury, PA
National Provider Identifier
1346570082
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015898 Issued in 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
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
EMERY BEHAVIORAL HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS015898 PA Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW013397L PA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW126648 PA
Clinical Social WorkerGroup: 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

National Provider Directory

National Provider Directory
Tax ID family
Emery Behavioral Health Services Inc2 organizations share this tax ID, including this one
Part of
Emery Behavioral Health Services Inc

Other organizations with this tax ID 1

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1346570082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DR",
            "address_2": "SUITE 7",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-522-0304",
            "fax_number": "570-522-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MARKET ST",
            "address_2": "SUITE 2",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178013401",
            "telephone_number": "570-286-0987",
            "fax_number": "570-286-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERY BEHAVIORAL HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERY BEHAVIORAL HEALTH SERVICES, INC",
        "enumeration_date": "2009-12-31",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT/DIRECTOR OF OPERATIO",
        "authorized_official_telephone_number": "570-522-0304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015898",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013397L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.