Organization Active NPI

Judy L Prescott LLC

  • Community/Behavioral Health Agency
  • Carlisle, PA
National Provider Identifier
1396107942
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS016139 Issued in PA
Legal business name
JUDY L PRESCOTT LLC
Practice address
28 S Pitt St
Carlisle, PA 17013-3211
Phone
(717) 440-1071
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dr. Judy Lynn Prescott, D.ED.NPI 1831198977
Title
Sole Member
Phone
(717) 440-1071

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
Community/Behavioral Health Agency 251S00000X PS016139 PA Primary

Addresses

Primary practice location

28 S Pitt St
Carlisle, PA 17013-3211

Mailing address

28 S Pitt St
Carlisle, PA 17013-3211
Phone (717) 440-1071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160609000234 PA Part B Supplier - Clinic/Group Practice 4789974494 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, 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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1396107942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S PITT ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133211",
            "telephone_number": "717-440-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S PITT ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133211",
            "telephone_number": "717-440-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY L PRESCOTT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "717-440-1071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS016139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.