Organization Active NPI

Footsteps Psychological Services

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1669804571
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008994L Issued in PA
Legal business name
FOOTSTEPS PSYCHOLOGICAL SERVICES
Practice address
334 Bloomfield St
Suite 104
Johnstown, PA 15904-3268
Phone
(814) 266-5238
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Tammy K Haslett, PH.D.NPI 1043493521
Title
Owner
Phone
(814) 266-5238

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PS008994L PA Primary

Addresses

Primary practice location

334 Bloomfield St
Suite 104
Johnstown, PA 15904-3268

Mailing address

334 Bloomfield St
Suite 204
Johnstown, PA 15904-3268
Phone (814) 266-5238

Other identifiers 2

IdentifierTypeStateIssuer
331004OtherPABLUE CROSS/SHIELD
1025765450004MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Footsteps Psychological Services3 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

334 Bloomfield St
Ste 204
Johnstown, PA 15904
Phone (814) 266-5238

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": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1669804571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BLOOMFIELD ST",
            "address_2": "SUITE 204",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043268",
            "telephone_number": "814-266-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BLOOMFIELD ST",
            "address_2": "SUITE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043268",
            "telephone_number": "814-266-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSTEPS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "HASLETT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-266-5238",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008994L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "331004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025765450004",
            "state": "PA"
        }
    ],
    "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 Apr 27, 2017; 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.