Organization Active NPI

Stauffer Psychological Services

  • Psychologist
  • Millersburg, PA
National Provider Identifier
1598048308
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P5006799L Issued in PA
Legal business name
STAUFFER PSYCHOLOGICAL SERVICES
Practice address
560 Rising Sun LN
Millersburg, PA 17061-1243
Phone
(717) 692-5200
Fax
(717) 692-5201
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mrs. Cynthia Stauffer, MS
Title
Owner
Phone
(717) 579-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X P5006799L PA Primary

Addresses

Primary practice location

560 Rising Sun LN
Millersburg, PA 17061-1243

Mailing address

168 Kinsinger Rd
Halifax, PA 17032-9449
Phone (717) 692-5200

Other identifiers 1

IdentifierTypeStateIssuer
0016838420002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1598048308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 KINSINGER RD",
            "city": "HALIFAX",
            "state": "PA",
            "postal_code": "170329449",
            "telephone_number": "717-692-5200",
            "fax_number": "717-692-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RISING SUN LN",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611243",
            "telephone_number": "717-692-5200",
            "fax_number": "717-692-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAUFFER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-579-6715",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "P5006799L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016838420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.