East Shore Psychiatric Associates PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EAST SHORE PSYCHIATRIC ASSOCIATES PC

Practice address

4601 Devonshire Rd Ste 100
Harrisburg, PA 17109-1547

Phone

(717) 540-4420

Fax

(717) 540-4427

NPI assigned

Aug 2, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elliott D Singer

Title

Clinical Social Worker

Phone

(717) 540-4420

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Todd Mitchell Drazien, LSW

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1134148695
  NPD (past)
• Connie J Houck, R.N.,C.

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1508870130
  NPD (past)
• Aimee Elizabeth Mickey, MSW, LCSW

  • Clinical Social Worker
  • York, PA
  • NPI 1285764225
  NPD (past)
• Audrey Jean Myers, MS LPC

  • Professional Counselor
  • Harrisburg, PA
  • NPI 1205877271
  NPD (past)
• David Paul Timme, PA-C

  • Physician Assistant
  • Harrisburg, PA
  • NPI 1194947218
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1467469544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FOREST HILLS DR",
            "address_2": "STE 19",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-540-4420",
            "fax_number": "717-540-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 DEVONSHIRE RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091547",
            "telephone_number": "717-540-4420",
            "fax_number": "717-540-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-09-06",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "717-540-4420"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "EA922302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "02305500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Margaret Eash, MS
• East End Medical Group
• East Shore Medical & Pain Management PC
• East Shore Oncology PC
• East Shore Pharmacy Inc.
• East Shore Therapeutic Massage Center LLC
• Keri Tkatch Eastburn, DPT
• Easyudo Services LLC
• Easyudo Services LLC
• Easyudo Services LLC

• Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.