Kimberly Kathleen Deutsch, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP022769 Issued in PA

Practice address

399 Green Ave Ext Ste 112
Lewistown, PA 17044-3404

Phone

(717) 280-6456

Fax

(717) 323-1748

NPI assigned

Oct 16, 2020

Last updated

Oct 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.deutsch.1@32853.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment NPD
• Cen Clear Child Services, Inc.

  • Mental Health Counselor
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  • NPI 1841289733

  Registered Nurse

  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1376141713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WALNUT RD",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170442600",
            "telephone_number": "717-280-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 GREEN AVE EXT STE 112",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170443404",
            "telephone_number": "717-280-6456",
            "fax_number": "717-323-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "KIMBERLY",
        "middle_name": "KATHLEEN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022769",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN580892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ismail O. Dedeoglu, M.D.
• Sandi Dejoie
• Dianne Christine Dela Cruz
• Melissa Delancey, LCSW
• Dennis M. Devita, M.D. P.C.
• Dennis M Devita, M.D.
• Lauren Devita, D.O.
• Kushaljit S Dhesi, MD
• Diakon Lutheran Social Ministries (Ohesson Manor)
• Kadiatou Diallo-Bangurah, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.