Medop Behavioral Health Associates of Pennsylvania PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MEDOP BEHAVIORAL HEALTH ASSOCIATES OF PENNSYLVANIA PC

Practice address

2595 Interstate Drive
Suite 103
Harrisburg, PA 17110-9380

Phone

(410) 832-2279

Fax

(860) 510-0020

NPI assigned

Oct 19, 2009

Organization subpart

Yes

Parent organization

MEDOPT SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Ms. Donna Dooley

Title

Cfo

Phone

(800) 370-3651

Specialties & licenses 7

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Pfeiffer, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1689968505
  NPD (past)
• Patricia Shaw, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1598045171
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1740516293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HATCHETTS HILL RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711534",
            "telephone_number": "800-370-3651",
            "fax_number": "860-510-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 INTERSTATE DRIVE",
            "address_2": "SUITE 103",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109380",
            "telephone_number": "410-832-2279",
            "fax_number": "860-510-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDOP BEHAVIORAL HEALTH ASSOCIATES OF PENNSYLVANIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDOPT SERVICES LLC",
        "enumeration_date": "2009-10-19",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-370-3651",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Weight Loss Center of Harrisburg, LLC
• Suzanne Medina, CRNP
• Medisure Health, LLC
• Medisure Labs Inc.
• Meditelecare of Pennsylvania LLC
• Simon Mehari
• Mary Meihofer, MD
• Alyssa R Meisel, RD
• William Jay Meisler, MD
• Andrew W. Mekaiel, M.D.

• Clinical Psychologist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.