Active NPI
Bluestem Behavioral Health
- Group Psychotherapy Psychologist
- Beaver, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Legal business name
- BLUESTEM BEHAVIORAL HEALTH
- Practice address
- 336 College Ave
Beaver, PA 15009-2231 - Phone
- (724) 774-1404
- NPI assigned
- Jun 25, 2008
- Last updated
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Sprenkel, PHD
- Title
- Owner
- Phone
- (724) 774-1404
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | NU | Primary |
Addresses
Primary practice location
336 College Ave
Beaver, PA 15009-2231
Mailing address
336 College Ave
Beaver, PA 15009-2231
Phone (724) 774-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454794 | Other | PA | HIGHMARK BC/BS |
National Provider Directory
National Provider Directory- Tax ID family
- Bluestem Behavioral Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Group Psychotherapy Psychologist
- Beaver, PA
- NPI 1265532600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Rochester, PA
- NPI 1629179320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1538320262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 COLLEGE AVE",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092231",
"telephone_number": "724-774-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 COLLEGE AVE",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092231",
"telephone_number": "724-774-1404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUESTEM BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "SPRENKEL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-774-1404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "1454794",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.