Organization Active NPI

Dr. Dustan a Barabas P.C.

  • Clinical Psychologist
  • Stroudsburg, PA
National Provider Identifier
1487945796
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016559 Issued in PA
Legal business name
DR. DUSTAN A BARABAS P.C.
Practice address
930 N 9TH St
Stroudsburg, PA 18360
Phone
(570) 629-4900
Fax
(570) 420-1248
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Dr. Dustan A Barabas, PSYD.NPI 1073715611
Title
Psychologist
Phone
(570) 629-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS016559 PA Primary

Addresses

Primary practice location

930 N 9TH St
Stroudsburg, PA 18360

Mailing address

930 N 9TH St
Stroudsburg, PA 18360-1208
Phone (570) 629-4900

Other identifiers 1

IdentifierTypeStateIssuer
001965985MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160310000159 PA Part B Supplier - Clinic/Group Practice 3678879111 Receives reassigned benefits from 1 practitioner
Practice locations: Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

912 Main St
Ste 304
Stroudsburg, PA 18360
Phone (570) 629-4900

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1487945796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601208",
            "telephone_number": "570-629-4900",
            "fax_number": "570-420-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-629-4900",
            "fax_number": "570-420-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DUSTAN A BARABAS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "BARABAS",
        "authorized_official_first_name": "DUSTAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "570-629-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001965985",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.