Jose W Santiago, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD039528 E Issued in PA

Practice address

2375 Garden Way
Hermitage, PA 16148-5209

Phone

(724) 983-5454

Fax

(724) 983-5914

NPI assigned

Dec 22, 2006

Last updated

Dec 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Counseling Center of Mercer CountyGroup PAC ID 7810981503, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grove City, PA
  • NPI 1972727048
  Medicare reassignment Care Compare group NPD
• Steward Medical Group Inc.

  • Internal Medicine Physician
  • Brookfield, OH
  • NPI 1902347438

  PA

  Medicare reassignment NPD
• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
  • NPI 1023070729
  NPD
• Community Counseling Center of Mercer County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hermitage, PA
  • NPI 1770707846
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1487718391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 GARDEN WAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485209",
            "telephone_number": "724-983-5454",
            "fax_number": "724-983-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039528 E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0489834",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW",
            "identifier": "251638612",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUT PPO",
            "identifier": "251638612",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "E52896",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NATION BENEFIT ADMIN",
            "identifier": "000000115000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "E52896",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "25163861200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW",
            "identifier": "0011099910001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW",
            "identifier": "0789384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA PPO POS HMO TRAD",
            "identifier": "552127",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001109991",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL",
            "identifier": "157858000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPW HMO",
            "identifier": "552127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "058022",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC POS HMO",
            "identifier": "201548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige M Saadeh, CRNP
• Ravindra K Sachdeva, MD
• Sagar V. Vallabh M.D. P.C.
• Roberto O Salcedo, MD
• Devenie L Santell, LSW
• Michael Joseph Santoro, LPC
• Allison Sappie, LPC
• Riley Saunders
• Regina Scarmack, MA, LPC, NCC
• Monica Jane Scarvel, MA CCCSLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.