Active NPI
Behavioral Support for Family and Community , P.C.
- Psychologist
- York, PA
National Provider Identifier
1689712432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS008551L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zbigniew Golonka, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103T00000X | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- York, PA
- NPI 1467590281
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.