Active NPI
Maria A Vinca, PHD
- Counseling Psychologist
- State College, PA
National Provider Identifier
1639470602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS016873
- Practice address
- 320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641 - Phone
- (814) 867-0670
- Fax
- (814) 867-7616
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS016873 | PA | Primary |
Addresses
Primary practice location
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Mailing address
1315 S. Allen St.
Suite #303
State College, PA 16801
Phone (814) 419-5463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1639470602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 S. ALLEN ST.",
"address_2": "SUITE #303",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "16801",
"telephone_number": "814-419-5463",
"fax_number": "814-867-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 ROLLING RIDGE DR",
"address_2": "SUITE 100",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017641",
"telephone_number": "814-867-0670",
"fax_number": "814-867-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCA",
"first_name": "MARIA",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS016873",
"primary": true
}
],
"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 Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.