NPIMap

Organization Active NPI

Julie a. States, PHD, PLLC

  • Community/Behavioral Health Agency
  • State College, PA
National Provider Identifier
1578068581
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS0105297 Issued in PA
Legal business name
JULIE A. STATES, PHD, PLLC
Practice address
229 W Foster Ave
State College, PA 16801-4823
Phone
(814) 238-1880
Fax
(814) 867-2794
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Dr. Julie A States, PH.D.NPI 1104889450
Title
Psychologist
Phone
(814) 238-1880

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
Community/Behavioral Health Agency 251S00000X PS0105297 PA Primary

Addresses

Primary practice location

229 W Foster Ave
State College, PA 16801-4823

Mailing address

229 W Foster Ave
State College, PA 16801-4823
Phone (814) 238-1880

Other identifiers 1

IdentifierTypeStateIssuer
617791MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813000270 PA Part B Supplier - Clinic/Group Practice 6507304375 Receives reassigned benefits from 1 practitioner
Practice locations: State College, PA

National Provider Directory

National Provider Directory

Locations

229 W Foster Ave
State College, PA 16801
Phone (814) 238-1880

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1578068581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W FOSTER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014823",
            "telephone_number": "814-238-1880",
            "fax_number": "814-867-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W FOSTER AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014823",
            "telephone_number": "814-238-1880",
            "fax_number": "814-867-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A. STATES, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "STATES",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "814-238-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS0105297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "617791",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.