Individual provider Active NPI

Dale J. Hindmarsh, MD

  • Child & Adolescent Psychiatry Physician
  • Greensburg, PA
National Provider Identifier
1679574503
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD022910E Issued in PA
Practice address
766E. Pittsburgh St.
Greensburg, PA 15601-2678
Phone
(724) 437-0729
Fax
(724) 437-2761
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD022910E PA Primary

Addresses

Primary practice location

766E. Pittsburgh St.
Greensburg, PA 15601-2678

Mailing address

766 E. Pittsburgh St.
Chestnut Ridge Counseling Services, Inc
Greensburg, PA 15601-2678
Phone (724) 437-0729

Other identifiers 2

IdentifierTypeStateIssuer
0007326390012MedicaidPA
2316032MedicaidOH

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1679574503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 E. PITTSBURGH ST.",
            "address_2": "CHESTNUT RIDGE COUNSELING SERVICES, INC",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012678",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766E. PITTSBURGH ST.",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012678",
            "telephone_number": "724-437-0729",
            "fax_number": "724-437-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMARSH",
        "first_name": "DALE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD022910E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007326390012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2316032",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.