Organization Active NPI

Upturn, LLC

  • Clinical Psychologist
  • Harrisburg, PA
National Provider Identifier
1447650965
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016958 Issued in PA
Legal business name
UPTURN, LLC
Practice address
2405 N Front St
Harrisburg, PA 17110-1155
Phone
(717) 745-7463
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Diana Lea Brown, PSY.D.NPI 1184858565
Title
Owner, Ceo, Principal
Phone
(717) 745-7463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS016958 PA Primary

Addresses

Primary practice location

2405 N Front St
Harrisburg, PA 17110-1155

Mailing address

2405 N Front St
Harrisburg, PA 17110-1155
Phone (717) 745-7463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109000469 PA Part B Supplier - Clinic/Group Practice 6901185206 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory
Tax ID family
Upturn LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

355 N 21st St
Ste 200
Camp Hill, PA 17011
Phone (717) 745-7463

2405 N Front St
Harrisburg, PA 17110
Phone (717) 745-7463

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1447650965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101155",
            "telephone_number": "717-745-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101155",
            "telephone_number": "717-745-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTURN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER, CEO, PRINCIPAL",
        "authorized_official_telephone_number": "717-745-7463",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.