NPIMap

Organization Active NPI

Beacon Psychological Services of Pennsylvania LLC

  • Clinic/Center
  • Camp Hill, PA
National Provider Identifier
1407006174
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BEACON PSYCHOLOGICAL SERVICES OF PENNSYLVANIA LLC
Practice address
3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836
Phone
(717) 763-8650
NPI assigned
Sep 30, 2008
Last updated
Sep 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Laurie S Pittman, PHDNPI 1720197700
Title
Owner
Phone
(717) 763-8650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836

Mailing address

3903 Hartzdale Dr
Suite 305
Camp Hill, PA 17011-7836
Phone (717) 763-8650

National Provider Directory

National Provider Directory

Locations

3903 Hartzdale Dr
Ste 305
Camp Hill, PA 17011
Phone (717) 745-7095

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1407006174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 HARTZDALE DR",
            "address_2": "SUITE 305",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117836",
            "telephone_number": "717-763-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 HARTZDALE DR",
            "address_2": "SUITE 305",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170117836",
            "telephone_number": "717-763-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON PSYCHOLOGICAL SERVICES OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-763-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Sep 30, 2008; 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.