NPIMap

Dubois Regional Medical Center

Organization Active NPI Psychiatry Physician · Du Bois, PA

NPI 1487848768 · NPPES record last updated Mar 15, 2024

Key facts

NPI
1487848768
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Practice address
635 Maple Ave
Du Bois, PA 15801-2376
Phone
(814) 375-6379
Fax
(814) 375-9320
NPI assigned
Aug 30, 2007
Organization subpart
No

Authorized official

Name
Ms. Heather B Schneider
Title
Cfo
Phone
(814) 375-6432

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands Brookville
Brookville, PA · CCN 391312		 Hospital Operational/Managerial Control Sep 26, 2007
Dr Arthur Clifton McKinley Health Center
Brookville, PA · CCN 395550		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Dec 31, 2021
Jan 1, 2024
Sep 25, 2025
Penn Highlands Jefferson Manor
Brookville, PA · CCN 395626		 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Apr 1, 2019
Dec 9, 2025
Penn Highlands Brookville
Philipsburg, PA · CCN 393430		 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2011

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040304000787 PA Part B Supplier - Clinic/Group Practice 5890689715 Receives reassigned benefits from 30 practitioners
Practice locations: Dubois, PA; Philipsburg, PA; Connellsville, PA; Clearfield, PA; Brookville, PA

National Provider Directory

Locations

1033 Turnpike Ave
Ste 300
Clearfield, PA 16830
Phone (814) 768-2137

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103T00000X
Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 104100000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Addiction Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QA0401X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X Yes
Clinic/Center 261Q00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Hospital Unit 273R00000X

Addresses

Primary practice location

635 Maple Ave
Du Bois, PA 15801-2376

Mailing address

PO Box 447
Du Bois, PA 15801-0447
Phone (814) 375-6379

Other names

  • Penn Highlands DuBois Behavioral Health Center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2024.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1487848768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-375-6379",
            "fax_number": "814-375-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MAPLE AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012376",
            "telephone_number": "814-375-6379",
            "fax_number": "814-375-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-375-6432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands DuBois Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands DuBois Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Du Bois, PA

All providers in Du Bois, PA · Psychiatry Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.