Paul Thomas Taren, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008663L Issued in PA

Practice address

480 Pierce St
Suite 115
Kingston, PA 18704-5512

Phone

(570) 718-1740

Fax

(570) 718-1741

NPI assigned

Jul 20, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467451591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-718-1740",
            "fax_number": "570-718-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045512",
            "telephone_number": "570-718-1740",
            "fax_number": "570-718-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAREN",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008663L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019393680001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christy Taylor, PHARMD
• The Hearing Center of Northeast Pennsylvania LLC
• The Milton S. Hershey Medical Center Physician Group
• The Rehabilitation Group of Pennsylvania, Inc. (Kingston Commons)
• The Youth Enrichment Project Inc.

• Clinical Psychologist in Kingston, PA
• Providers in Kingston, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.