Organization Active NPI

Premier Mental Health Care,PC

  • Child & Adolescent Psychiatry Physician
  • Camp Hill, PA
National Provider Identifier
1396166302
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD419076 Issued in PA
Legal business name
PREMIER MENTAL HEALTH CARE,PC
Practice address
3461 Market St
Suite # 102
Camp Hill, PA 17011-4412
Phone
(717) 695-7825
Fax
(717) 695-7843
NPI assigned
Dec 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. Benyam G Tegene, M.D.
Title
President and Ceo
Phone
(717) 695-7825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X MD419076 PA Primary

Addresses

Primary practice location

3461 Market St
Suite # 102
Camp Hill, PA 17011-4412

Mailing address

3461 Market St
Suite # 102
Camp Hill, PA 17011-4412
Phone (717) 695-7825

National Provider Directory

National Provider Directory

Locations

3461 Market St
Ste 102
Camp Hill, PA 17011
Phone (717) 695-7825

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1396166302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 MARKET ST",
            "address_2": "SUITE # 102",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114412",
            "telephone_number": "717-695-7825",
            "fax_number": "717-695-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 MARKET ST",
            "address_2": "SUITE # 102",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114412",
            "telephone_number": "717-695-7825",
            "fax_number": "717-695-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MENTAL HEALTH CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "TEGENE",
        "authorized_official_first_name": "BENYAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "717-695-7825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD419076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.