Diakon Lutheran Social Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIAKON LUTHERAN SOCIAL MINISTRIES

Practice address

201 W Louther St
Carlisle, PA 17013-2813

Phone

(717) 795-0330

Fax

(717) 795-0407

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Rita A. Rousseau

Title

Executive Director Cos

Phone

(717) 795-0368

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Diakon Family Life Services Doing business as

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1477582070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016001",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LOUTHER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132813",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON LUTHERAN SOCIAL MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR COS",
        "authorized_official_telephone_number": "717-795-0368"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02319100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD - CRNP",
            "identifier": "1526223",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007777400044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "301029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diakon Family Life Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sondra M Depalma, PA-C
• Tiffany Depaoli
• Judith Nihill Dericco, L.P.C.
• Amie Destefano
• Michael Anthony Di Meo, PT, DPT
• Borka Dickerson
• Paul Bryant Dickerson, PHD
• Dickinson College Health Center
• Caroline M Diller, D.C.
• David Thomas Dils, DC

• Community/Behavioral Health Agency in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.