Geisinger Clinic
Organization Active NPI Addiction (Substance Use Disorder) Psychologist · Scranton, PA
NPI 1639600075 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1639600075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Psychologist 103TA0400X
- Legal business name
- GEISINGER CLINIC
- Practice address
- 3 W Olive St
Scranton, PA 18508-2572 - Phone
- (570) 207-6299
- Fax
- (570) 207-6298
- NPI assigned
- Mar 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Cindy Mull
- Title
- Director
- Phone
- (570) 271-6144
Corporate family (same tax ID) 24
Practitioners 51
-
Gary Bonfante, DO
-
Neal Thomas Cooper, M.D.
-
Kelly Jo Dalton, O.D.
-
Jennifer Eyvette Edmonds, MA, NCC, LPC
-
Arun K Gadre, MD
-
Oded Goren, M.D
-
Ashley N. Hubal, PA-C
-
Sara Humayun, M.D
-
Brian Butler Kapp, M.D.
-
Liana Lavrinc, PA-C
-
Kara Anne Levandoski, KARA LEVANDOSKI
-
Laurie Loiacono, MD
-
Jamie A. Long, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040130000518 | PA | Part B Supplier - Clinic/Group Practice | 5395657001 |
Receives reassigned benefits from 5,323 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Geisinger Clinic Sunbury
Locations
2407 Reichart Rd
Bloomsburg, PA 17815
Phone (570) 784-6320
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | Yes |
Addresses
Primary practice location
3 W Olive St
Scranton, PA 18508-2572
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
549 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 387-2055
Other practice location 2
425 Market St
Williamsport, PA 17701-6345
Phone (570) 368-4477
Other practice location 3
8 Church Street
Wilkes Barre, PA 18765-6001
Phone (570) 808-3700
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All providers in Scranton, PA · Addiction (Substance Use Disorder) Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.