Organization Active NPI

PA Patient Care PC

  • Clinical Psychologist
  • Scranton, PA
National Provider Identifier
1750650826
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PA PATIENT CARE PC
Practice address
722 Clay Ave
Scranton, PA 18510-1728
Phone
(570) 565-9111
NPI assigned
Dec 20, 2011
Last updated
Sep 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Dr. Ahron Milworm, MD
Title
President
Phone
(718) 664-7109

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Physical Disabilities Residential Treatment Facility 320700000X 241004-1 NY

Addresses

Primary practice location

722 Clay Ave
Scranton, PA 18510-1728

Mailing address

722 Clay Ave
Scranton, PA 18510-1728
Phone (570) 565-9111

National Provider Directory

National Provider Directory

Locations

46 Main St
#125
Monsey, NY 10952

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1750650826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CLAY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101728",
            "telephone_number": "570-565-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 CLAY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101728",
            "telephone_number": "570-565-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA PATIENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "MILWORM",
        "authorized_official_first_name": "AHRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17186647109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NY",
            "license": "241004-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.