NPIMap

Organization Active NPI

Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
National Provider Identifier
1457488298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
313180 Issued in PA
Legal business name
INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.
Practice address
900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone
(814) 643-6300
Fax
(814) 643-8776
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark M. Peters, M.A.NPI 1366554784
Title
President-Ceo
Phone
(814) 643-6300

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
Psychiatry Physician 2084P0800X 313180 PA Primary

Addresses

Primary practice location

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Mailing address

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone (814) 643-6300

Other identifiers 1

IdentifierTypeStateIssuer
1359155OtherPAHIGHMARK

National Provider Directory

National Provider Directory
Tax ID family
Huntingdon Counseling and Psychiatric Services2 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

900 Bryan St
Ste 5
Huntingdon, PA 16652
Phone (814) 643-6300

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457488298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "814-643-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "313180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1359155",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.