Conor M Scullin, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC014804 Issued in PA

Practice address

60 Snyder Rd
Hermitage, PA 16148-3432

Phone

(724) 346-3838

Fax

(724) 346-4339

NPI assigned

Aug 26, 2022

Last updated

Aug 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fred Philip Gallo, PHD

  • Psychologist
  • Hermitage, PA
  • NPI 1629132279
  Medicare reassignment
• Gallo & Associates Psychological Services

  • Psychologist
  • Hermitage, PA
  • NPI 1093988172
  NPD (past)

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1639898109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SNYDER RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-346-3838",
            "fax_number": "724-346-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SNYDER RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483432",
            "telephone_number": "724-346-3838",
            "fax_number": "724-346-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLIN",
        "first_name": "CONOR",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC014804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Schirf, PT
• S Jerome Schnall, DPM
• Carol Scholl, MED
• Albert J. Scott, ED.D.
• Rebecca L Scott, MA
• Senior Healthservices Inc
• Paige Servey
• Services With a Purpose I LLC
• Kaitlynn Mostard Shaffer, DPT
• Tanima Shaheed, MD

• Counselor in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.