Active NPI
Connellsville Counseling Center, Inc.
- Psychiatry Physician
- Connellsville, PA
National Provider Identifier
1609941236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-070419L
- Legal business name
- CONNELLSVILLE COUNSELING CENTER, INC.
- Practice address
- 110 S Arch St
Connellsville, PA 15425-3515 - Phone
- (724) 626-9941
- Fax
- (724) 626-2785
- NPI assigned
- Nov 21, 2006
- 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
- Mr. Chris Stern, ESQ.
- Title
- Coo
- Phone
- (724) 626-9941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-070419L | PA | Primary |
Addresses
Primary practice location
110 S Arch St
Connellsville, PA 15425-3515
Mailing address
110 S Arch St
Connellsville, PA 15425-3515
Phone (724) 626-9941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015260180003 | Medicaid | PA |
Other names 1
- The Stern Center for Developmental and Behavioral Health
National Provider Directory
National Provider Directory- Tax ID family
- Connellsville Counseling Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- Connellsville, PA
- NPI 1386916435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329436800000",
"number": "1609941236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S ARCH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154253515",
"telephone_number": "724-626-9941",
"fax_number": "724-626-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S ARCH ST",
"city": "CONNELLSVILLE",
"state": "PA",
"postal_code": "154253515",
"telephone_number": "724-626-9941",
"fax_number": "724-626-2785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNELLSVILLE COUNSELING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2012-02-17",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "724-626-9941",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ESQ."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD-070419L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015260180003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Stern Center for Developmental and Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Connellsville, PA
- Connellsville Area Senior Tigers, Inc
- Connellsville Counseling & Psychological Services
- Connellsville Counseling & Psychological Services, LLC
- Connellsville Counseling Center
- Connellsville Counseling Center, Inc
- Nadene B Copeland, NP-C
- Matthew T Cramer, DPT
- Lorri Jeanne Cunningham-Kaylor, LPC, NCC
- Jay Eric Cunningham, D.P.M.
- Paul Dascani, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.