Organization Active NPI

Behavioral Support for Family and Community , P.C.

  • Psychologist
  • York, PA
National Provider Identifier
1689712432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008551L Issued in PA
Legal business name
BEHAVIORAL SUPPORT FOR FAMILY AND COMMUNITY , P.C.
Practice address
135 N George St
Cga Professional Center
York, PA 17401-1132
Phone
(877) 777-5393
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Zbigniew Golonka, PH.D.NPI 1467590281
Title
President
Phone
(203) 598-1796

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 PS008551L PA Primary

Addresses

Primary practice location

135 N George St
Cga Professional Center
York, PA 17401-1132

Mailing address

8764 Stonehouse Dr
Ellicott City, MD 21043-1931
Phone (877) 777-5393

Other identifiers 1

IdentifierTypeStateIssuer
103T00000XMedicaidPA

National Provider Directory

National Provider Directory

Locations

135 N George St
York, PA 17401
Phone (877) 777-5393

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689712432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8764 STONEHOUSE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210431931",
            "telephone_number": "877-777-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N GEORGE ST",
            "address_2": "CGA PROFESSIONAL CENTER",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174011132",
            "telephone_number": "877-777-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SUPPORT FOR FAMILY AND COMMUNITY , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLONKA",
        "authorized_official_first_name": "ZBIGNIEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-598-1796",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008551L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103T00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.