Organization Active NPI

Salesian Monastic Community

  • Clinical Psychologist
  • Brodheadsville, PA
National Provider Identifier
1396051017
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005430L Issued in PA
Legal business name
SALESIAN MONASTIC COMMUNITY
Practice address
HC 1 Box 455
Frantz Road
Brodheadsville, PA 18322-9630
Phone
(570) 992-3448
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Authorized official

Name
Dr. Bernard Seif, EDD DNMNPI 1205899200
Title
Abbot President
Phone
(570) 992-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS005430L PA Primary

Addresses

Primary practice location

HC 1 Box 455
Frantz Road
Brodheadsville, PA 18322-9630

Mailing address

HC 1 Box 455
Frantz Road
Brodheadsville, PA 18322-9630
Phone (570) 992-3448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101213000059 PA Part B Supplier - Clinic/Group Practice 7618164948 Receives reassigned benefits from 1 practitioner
Practice locations: Brodheadsville, PA

National Provider Directory

National Provider Directory

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": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1396051017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 455",
            "address_2": "FRANTZ ROAD",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229630",
            "telephone_number": "570-992-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 455",
            "address_2": "FRANTZ ROAD",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229630",
            "telephone_number": "570-992-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALESIAN MONASTIC COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "SEIF",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "ABBOT PRESIDENT",
        "authorized_official_telephone_number": "570-992-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD  DNM"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005430L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.