Active NPI
Kenneth William Hylbert, M.D.
- Psychiatry Physician
- State College, PA
National Provider Identifier
1447258348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD024290 E
- Practice address
- 320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641 - Phone
- (814) 867-0670
- Fax
- (814) 867-7616
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD024290 E | PA | Primary |
Addresses
Primary practice location
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Mailing address
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone (814) 867-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD024290 E | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Nittany Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Clinic/Center
- State College, PA
- NPI 1104991801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1447258348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 ROLLING RIDGE DR",
"address_2": "SUITE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017641",
"telephone_number": "814-867-0670",
"fax_number": "814-867-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 ROLLING RIDGE DR",
"address_2": "SUITE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017641",
"telephone_number": "814-867-0670",
"fax_number": "814-867-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLBERT",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD024290 E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.