Active NPI
Charles Alan Babcock, M.ED.
- Psychologist
- Elizabethtown, PA
National Provider Identifier
1497051502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 007207L
- Practice address
- 301 Groff Ave
Elizabethtown, PA 17022-2820 - Phone
- (717) 575-7444
- Fax
- (717) 948-6108
- NPI assigned
- Feb 7, 2011
- Last updated
- Feb 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 007207L | PA | Primary |
Addresses
Primary practice location
301 Groff Ave
Elizabethtown, PA 17022-2820
Mailing address
P.O. Box 486
Elizabethtown, PA 17022-0486
Phone (717) 575-7444
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 007207L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1497051502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 486",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170220486",
"telephone_number": "717-575-7444",
"fax_number": "717-948-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GROFF AVE",
"city": "ELIZABETHTOWN",
"state": "PA",
"postal_code": "170222820",
"telephone_number": "717-575-7444",
"fax_number": "717-948-6108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABCOCK",
"first_name": "CHARLES",
"middle_name": "ALAN",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 007207L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, PA
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- Ashlar Home Health and Hospice Services, LLC
- Carolyn Bachman, PA-C
- Barry G Badger, DMD
- Carlton Philip Baer
- Gerald R Baer, M.D.
- Lydia C Baird, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.