Active NPI
John Puthenpurackal John, MD
- Psychiatry Physician
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD051025L
- Practice address
- 1885 Market St
Warren, PA 16365-1277 - Phone
- (814) 723-5545
- Fax
- (814) 723-6355
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD051025L | PA | Primary |
Addresses
Primary practice location
1885 Market St
Warren, PA 16365-1277
Mailing address
1885 Market St
Warren, PA 16365-1277
Phone (814) 723-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001599598 | Medicaid | PA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Buffalo School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1885 Market St
Warren, PA 16365-1277
Phone (814) 817-1400
23 Kennedy St
Bradford, PA 16701-2065
Phone (814) 817-1400
613 Elm St
Tionesta, PA 16353-9751
Phone (814) 817-1400
800 E Main St
Bradford, PA 16701-3278
Phone (814) 817-1400
Hospital & facility affiliations
- Warren General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD051025L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Center for Treatment and Education | Current | Accepting new patients | |
| Children'S Center for Treatment and Education | Current | Accepting new patients | |
| Warren County Commissioners | Past | Accepting new patients |
Locations
23 Kennedy St
Bradford, PA 16701
Phone (814) 723-1832
1885 Market St
Warren, PA 16365
Phone (814) 723-1832
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Warren, PA
- NPI 1134158314
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Warren, PA
- NPI 1366609646
-
- Clinical Psychologist
- Bradford, PA
- NPI 1477626992
-
- Case Management Agency
- Warren, PA
- NPI 1396780730
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Warren, PA
- NPI 1376497362
-
- General Acute Care Hospital
- Warren, PA
- NPI 1659360220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1497789507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 MARKET ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163651277",
"telephone_number": "814-723-5545",
"fax_number": "814-723-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 MARKET ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163651277",
"telephone_number": "814-723-5545",
"fax_number": "814-723-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JOHN",
"middle_name": "PUTHENPURACKAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD051025L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001599598",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.