Organization Active NPI

Cedar Crest Psychological Counseling, P.C.

  • Preferred Provider Organization
  • Allentown, PA
National Provider Identifier
1366456790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PS-007491L Issued in PA
Legal business name
CEDAR CREST PSYCHOLOGICAL COUNSELING, P.C.
Practice address
1605 N Cedar Crest Blvd Ste 520
Allentown, PA 18104-2355
Phone
(610) 437-4577
Fax
(610) 437-6877
NPI assigned
Jul 28, 2006
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
Mr. Geoffrey K. Sherman, M.A., N.C.C, L.P.C.
Title
Owner, President
Phone
(610) 437-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PS-007491L PA Primary

Addresses

Primary practice location

1605 N Cedar Crest Blvd Ste 520
Allentown, PA 18104-2355

Mailing address

1605 N Cedar Crest Blvd Ste 520
Allentown, PA 18104-2355
Phone (610) 437-4577

National Provider Directory

National Provider Directory

Locations

1605 N Cedar Crest Blvd
Ste 520
Allentown, PA 18104
Phone (610) 437-4577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366456790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 520",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042355",
            "telephone_number": "610-437-4577",
            "fax_number": "610-437-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 520",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042355",
            "telephone_number": "610-437-4577",
            "fax_number": "610-437-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST PSYCHOLOGICAL COUNSELING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "610-437-4577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., N.C.C, L.P.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "PS-007491L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, 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.