NPIMap

Organization Active NPI

Behavioral Health Integrative Care of PA PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • State College, PA
National Provider Identifier
1619639226
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BEHAVIORAL HEALTH INTEGRATIVE CARE OF PA PC
Practice address
2214 N Atherton St Ste 3-6
State College, PA 16803-1544
Phone
(305) 542-0687
NPI assigned
Oct 11, 2021
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Mr. Alicia Santos Pierce
Title
Corp. Ops Manager
Phone
(561) 473-9426

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

2214 N Atherton St Ste 3-6
State College, PA 16803-1544

Mailing address

1170 S State St
Ephrata, PA 17522-2601
Phone (305) 542-0687

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Integrative Care of PA PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2214 N Atherton St
Ste 36
State College, PA 16803
Phone (305) 542-0687

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1619639226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 S STATE ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222601",
            "telephone_number": "305-542-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST STE 3-6",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "305-542-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH INTEGRATIVE CARE OF PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SANTOS PIERCE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CORP. OPS MANAGER",
        "authorized_official_telephone_number": "561-473-9426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.