Croyle-Nielsen Support Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CROYLE-NIELSEN SUPPORT SERVICES, LLC

Practice address

336 Bloomfield Street
Suite 203
Johnstown, PA 15904-3271

Phone

(814) 266-2244

Fax

(814) 266-6296

NPI assigned

Jun 6, 2020

Organization subpart

No

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

Authorized official

Name

Amy Marie Nielsen

Title

President

Phone

(814) 244-2390

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1730703570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD STREET",
            "address_2": "SUITE 203",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-2244",
            "fax_number": "814-266-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD STREET",
            "address_2": "SUITE 203",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-266-2244",
            "fax_number": "814-266-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROYLE-NIELSEN SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-244-2390"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads to Independence, Inc.
• Abigail Crownover, OTR/L
• Croyle Psychological Associates
• Croyle-Nielsen Clinical Services PC
• Croyle-Nielsen Health Services, LLC
• Croyle-Nielsen Therapeutic Associates, Inc.
• Croyle-Serbin Therapeutic Associates, P.C.
• Croyle-Serbin Therapeutic Associates, PC
• Brad Croyle, M.A.
• Claudine Marie Croyle, AU.D.

• Case Management Agency in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.