Active NPI
Stauffer Psychological Services
- Psychologist
- Millersburg, PA
National Provider Identifier
1598048308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P5006799L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016838420002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI 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.