Organization Active NPI

Counseling and Assessment Services

  • Psychologist
  • Erie, PA
National Provider Identifier
1497192363
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016557L Issued in PA
Legal business name
COUNSELING AND ASSESSMENT SERVICES
Practice address
1363 W 6TH St
Erie, PA 16505-2559
Phone
(814) 490-4740
Fax
(814) 455-0754
NPI assigned
May 31, 2013
Last updated
May 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Robert R. Iddings, PH. D.NPI 1710085105
Title
Owner/Psychologist
Phone
(814) 490-4740

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005995 PA
Psychologist 103T00000X PS016557L PA Primary

Addresses

Primary practice location

1363 W 6TH St
Erie, PA 16505-2559

Mailing address

1363 W 6TH St
Erie, PA 16505-2559
Phone (814) 490-4740

Other identifiers 1

IdentifierTypeStateIssuer
1026954840001MedicaidPA

Other names 1

  • Robert R. Iddings, Ph.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

1363 W 6th St
Erie, PA 16505
Phone (814) 454-1810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1497192363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052559",
            "telephone_number": "814-490-4740",
            "fax_number": "814-455-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052559",
            "telephone_number": "814-490-4740",
            "fax_number": "814-455-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "IDDINGS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-490-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005995",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016557L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026954840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert R. Iddings, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.