NPIMap

Organization Active NPI

Institute of Healing and Psychotherapy

  • Psychologist
  • Hazleton, PA
National Provider Identifier
1720327646
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006536L Issued in PA
Legal business name
INSTITUTE OF HEALING AND PSYCHOTHERAPY
Practice address
1747 E Broad St
Suite B
Hazleton, PA 18201-5621
Phone
(570) 501-1600
Fax
(570) 501-1600
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mr. Frank James VitaNPI 1972791820
Title
Psychologist/Sole Member
Phone
(570) 501-1600

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 PS006536L PA Primary

Addresses

Primary practice location

1747 E Broad St
Suite B
Hazleton, PA 18201-5621

Mailing address

1747 E Broad St
Suite B
Hazleton, PA 18201-5621
Phone (570) 501-1600

Other identifiers 4

IdentifierTypeStateIssuer
0015541660006MedicaidPA
0015541660003MedicaidPA
564323OtherPABLUE CROSS
VI564323OtherPABLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1747 E Broad St
Ste B
Hazleton, PA 18201
Phone (570) 501-1600

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": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1720327646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 E BROAD ST",
            "address_2": "SUITE B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015621",
            "telephone_number": "570-501-1600",
            "fax_number": "570-501-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 E BROAD ST",
            "address_2": "SUITE B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015621",
            "telephone_number": "570-501-1600",
            "fax_number": "570-501-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF HEALING AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "VITA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST/SOLE MEMBER",
        "authorized_official_telephone_number": "570-501-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006536L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015541660006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015541660003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "564323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "VI564323",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.