Active NPI
Jennifer Ludrosky, PH.D., Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waynesburg, PA
National Provider Identifier
1619153871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- PS016126
- Legal business name
- JENNIFER LUDROSKY, PH.D., INC.
- Practice address
- 236 Elm Dr
Suite 101
Waynesburg, PA 15370-8265 - Phone
- (724) 852-4032
- Fax
- (724) 627-0812
- NPI assigned
- Jan 17, 2008
- 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
- Dr. Jennifer Ludrosky, PH.D.
- Title
- Owner
- Phone
- (724) 852-4032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | PS016126 | PA | Primary |
Addresses
Primary practice location
236 Elm Dr
Suite 101
Waynesburg, PA 15370-8265
Mailing address
236 Elm Dr
Suite 101
Waynesburg, PA 15370-8265
Phone (724) 852-4032
National Provider Directory
National Provider DirectoryLocations
236 Elm Dr
Ste 101
Waynesburg, PA 15370
Phone (724) 627-0926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1619153871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 ELM DR",
"address_2": "SUITE 101",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708265",
"telephone_number": "724-852-4032",
"fax_number": "724-627-0812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 ELM DR",
"address_2": "SUITE 101",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708265",
"telephone_number": "724-852-4032",
"fax_number": "724-627-0812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER LUDROSKY, PH.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LUDROSKY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-852-4032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "PA",
"license": "PS016126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.