Active NPI
Laura Diane Kuterbach, PH.D.
- School Psychologist
- Philipsburg, PA
National Provider Identifier
1477601193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PS015463
- Practice address
- 1633 Philipsburg Bigler Hwy
Cen-Clear Child Services, Inc.
Philipsburg, PA 16866-8112 - Phone
- (814) 342-5845
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PS015463 | PA | Primary |
Addresses
Primary practice location
1633 Philipsburg Bigler Hwy
Cen-Clear Child Services, Inc.
Philipsburg, PA 16866-8112
Mailing address
PO Box 459
Milesburg, PA 16853-0459
Phone (814) 355-4605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KU1916356 | Other | PA | HIGHMARK PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015463 | PA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477601193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "MILESBURG",
"state": "PA",
"postal_code": "168530459",
"telephone_number": "814-355-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 PHILIPSBURG BIGLER HWY",
"address_2": "CEN-CLEAR CHILD SERVICES, INC.",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168668112",
"telephone_number": "814-342-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTERBACH",
"first_name": "LAURA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": "PS015463",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "KU1916356",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philipsburg, PA
Sources for this page
- 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.