Active NPI
People in Need - Lawrence County
- Psychiatry Physician
- New Castle, PA
National Provider Identifier
1730306911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 400930
- Legal business name
- PEOPLE IN NEED - LAWRENCE COUNTY
- Practice address
- 2703 W State St
New Castle, PA 16101-8671 - Phone
- (724) 657-3303
- Fax
- (724) 657-3326
- NPI assigned
- Apr 19, 2007
- Last updated
- Nov 17, 2010
- 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
- Sharon Hodge
- Title
- Executive Director
- Phone
- (724) 657-3303
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 400930 | PA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 400930 | PA | |
| Geriatric Psychiatry Physician | 2084P0805X | 400930 | PA | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 400930 | PA |
Addresses
Primary practice location
2703 W State St
New Castle, PA 16101-8671
Mailing address
2703 W State St
New Castle, PA 16101-8671
Phone (724) 657-3303
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007449820011 | Medicaid | PA | |
| 612225900 | Other | PA | US DEPT OF LABOR |
| 317380 | Other | PA | UPMC HEALTH PLAN |
| 850486 | Other | PA | BCBS |
| 0007758127 | Other | PA | AETNA BEHAVIORAL HEALTH |
| 830412 | Other | PA | HIGHMARK MANAGED CARE |
| 1892851 | Other | PA | BCBS |
| 259666000 | Other | PA | MAGELLAN BEHAVIORAL HEALT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040427000910 | PA | Part B Supplier - Clinic/Group Practice | 6305833963 |
Receives reassigned benefits from 6 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Castle, PA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- New Castle, PA
- NPI 1558341867
O20040427000910
National Provider Directory
National Provider Directory- Tax ID family
- People in Need-Lawrence County
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychologist
- New Castle, PA
- NPI 1912077785
-
- Counselor
- New Castle, PA
- NPI 1932424082
-
- Community/Behavioral Health Agency
- New Castle, PA
- NPI 1558341867
Locations
2703 W State St
New Castle, PA 16101
Phone 7246573303 ext. 101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Child & Adolescent Psychiatry Physician
- Oklahoma City, OK
- NPI 1912122060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1730306911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 W STATE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161018671",
"telephone_number": "724-657-3303",
"fax_number": "724-657-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 W STATE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161018671",
"telephone_number": "724-657-3303",
"fax_number": "724-657-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLE IN NEED - LAWRENCE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "HODGE",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "724-657-3303"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "400930",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "400930",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "PA",
"license": "400930",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "PA",
"license": "400930",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007449820011",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "612225900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "317380",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "850486",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "0007758127",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK MANAGED CARE",
"identifier": "830412",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1892851",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "259666000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
- Jennifer Peluso
- Jennifer Sue Peluso
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #05711)
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 04058)
- Mary Ellen Penwell, R.N.
- People in Need - Lawrence County
- People in Need - Lawrence County
- People in Need-Lawrence County
- Laural M. Perdue, B.S., PHARMD
- Bobbi Jo Perlik, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.