Active NPI
Jacob Kyle Faust, PMHNP-BC
- Psychiatry Physician
- Danville, PA
National Provider Identifier
1710896402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- SP036645
- Practice address
- 206 Maria Hall Dr
Danville, PA 17821-1304 - Phone
- (570) 953-8552
- NPI assigned
- Sep 7, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | SP036645 | PA | Primary |
Addresses
Primary practice location
206 Maria Hall Dr
Danville, PA 17821-1304
Mailing address
358 Sunbury Rd
Danville, PA 17821-8789
Phone (570) 394-2933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1710896402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 SUNBURY RD",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178218789",
"telephone_number": "570-394-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MARIA HALL DR",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178211304",
"telephone_number": "570-953-8552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUST",
"first_name": "JACOB",
"middle_name": "KYLE",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "SP036645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.