Lightworks Psychiatric Services, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LIGHTWORKS PSYCHIATRIC SERVICES, INC

Doing business as

Lightworks Psychiatric Services, Inc
psychiatric services

Practice address

552 S Lancaster St
Annville, PA 17003-2137

Phone

(717) 304-8633

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Irene TetzlaffNPI 1427531144

Title

CRNP-BC

Phone

(717) 304-8633

Specialties & licenses 1

Addresses

Other names 2

• Lightworks Psychiatric Services, Inc Doing business as
• psychiatric services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene Tetzlaff

  • Psychiatric/Mental Health Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1427531144
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1417737834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 S LANCASTER ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170032137",
            "telephone_number": "717-304-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 S LANCASTER ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170032137",
            "telephone_number": "717-304-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTWORKS PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "TETZLAFF",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CRNP-BC",
        "authorized_official_telephone_number": "717-304-8633"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lightworks Psychiatric Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "psychiatric services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Lippincott Silva, M.A.
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• Psychiatry Physician in Annville, PA
• Providers in Annville, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.