Organization Active NPI

St Anthonys Point Inc

  • Psychologist
  • Hermitage, PA
National Provider Identifier
1609984343
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ST ANTHONYS POINT INC
Practice address
3679 E State St
Hermitage, PA 16148-3411
Phone
(724) 982-0414
Fax
(724) 982-4407
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Deborah J Mikita, MANPI 1689688087
Title
Psychologist Owner
Phone
(724) 982-0414

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X PC006662 PA
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X PC005176
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X PS008073L PA
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X PS008073L PA
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X SW128655 PA

Addresses

Primary practice location

3679 E State St
Hermitage, PA 16148-3411

Mailing address

3679 E State St
Hermitage, PA 16148-3411
Phone (724) 982-0414

Other identifiers 2

IdentifierTypeStateIssuer
0018158430001MedicaidPA
001397685OtherPAHIGHMARK BCBS

National Provider Directory

National Provider Directory

Locations

1341 Liberty St
#649
Franklin, PA 16323
Phone (814) 437-9722

206 Seneca St
#1390
Oil City, PA 16301
Phone (814) 671-2434

3679 E State St
Sharon, PA 16148
Phone (724) 982-0414

87 Stambaugh Ave
#840
Sharon, PA 16146
Phone (724) 982-0414

127 W Spring St
#740
Titusville, PA 16354
Phone (814) 827-8273

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1609984343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483411",
            "telephone_number": "724-982-0414",
            "fax_number": "724-982-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 E STATE ST",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483411",
            "telephone_number": "724-982-0414",
            "fax_number": "724-982-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONYS POINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MIKITA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "724-982-0414",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006662",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "PC005176",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS008073L",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS008073L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018158430001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001397685",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.