Individual provider Active NPI

Celina Grassmyer, PH.D.

  • Clinical Child & Adolescent Psychologist
  • State College, PA
National Provider Identifier
1457091043
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
315 S Allen St Ste 218
State College, PA 16801-4850
Phone
(814) 264-4015
NPI assigned
Mar 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

315 S Allen St Ste 218
State College, PA 16801-4850

Mailing address

144 Thornton Rd
State College, PA 16801-7242
Phone (585) 749-7889

Other practice location 1

315 S Allen St Ste 326
State College, PA 16801-4851
Phone (814) 308-0704

Other practice location 2

2541 E College Ave
State College, PA 16801-7408
Phone (814) 264-4015

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1457091043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 THORNTON RD",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017242",
            "telephone_number": "585-749-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S ALLEN ST STE 218",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014850",
            "telephone_number": "814-264-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Allen St Ste 326",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168014851",
            "country_code": "US",
            "telephone_number": "814-308-0704",
            "fax_number": "814-308-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2541 E College Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017408",
            "country_code": "US",
            "telephone_number": "814-264-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSMYER",
        "first_name": "CELINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "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 Apr 20, 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.