NPIMap

Organization Active NPI

Croyle-Serbin Therapeutic Associates, P.C.

  • Clinical Psychologist
  • Johnstown, PA
National Provider Identifier
1649435843
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS003270-L Issued in PA
Legal business name
CROYLE-SERBIN THERAPEUTIC ASSOCIATES, P.C.
Practice address
1450 Scalp Ave
Suite 209
Johnstown, PA 15904-3374
Phone
(814) 266-3196
NPI assigned
Jul 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Carole Serbin, LCSWNPI 1164417663
Title
President
Phone
(814) 266-3196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS003270-L PA Primary

Addresses

Primary practice location

1450 Scalp Ave
Suite 209
Johnstown, PA 15904-3374

Mailing address

1450 Scalp Ave
Suite 209
Johnstown, PA 15904-3374

National Provider Directory

National Provider Directory
Tax ID family
Croyle-Serbin Therapeutic Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1450 Scalp Ave
Ste 209
Johnstown, PA 15904
Phone (814) 266-3196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1649435843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "address_2": "SUITE 209",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "address_2": "SUITE 209",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043374",
            "telephone_number": "814-266-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROYLE-SERBIN THERAPEUTIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "SERBIN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-266-3196",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003270-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.