Guidling Light Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD451033 Issued in PA

Legal business name

GUIDLING LIGHT HEALTH LLC

Practice address

1315 S Allen St
Suite 104, 2ND Floor
State College, PA 16801-5923

Phone

(814) 753-4422

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry A Vilensky, MD

Title

Owner

Phone

(814) 753-4422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1447624507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S ALLEN ST STE 104",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015923",
            "telephone_number": "814-753-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S ALLEN ST",
            "address_2": "SUITE 104, 2ND FLOOR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015923",
            "telephone_number": "814-753-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDLING LIGHT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "VILENSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-753-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD451033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Emili Gross, PA-C
• Jennifer P Grove, LSW
• Michelle L Grove
• Anveshi Gabriela Guha, MD
• Guiding Light Health PC
• Guillard Internal Medicine Inc.
• Allison M Guillard, CRNP
• Frank Guillard, M.D.
• Paul Guillard, M.D.
• Sarah A Guillard

• Psychiatry Physician in State College, PA
• Providers in State College, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.