NPIMap

Organization Active NPI

Richard M. Kastelic, MD & Assoc., P.C.

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1760669451
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006299L Issued in PA
Legal business name
RICHARD M. KASTELIC, MD & ASSOC., P.C.
Practice address
322 Warren St
Ste 300
Johnstown, PA 15905-3443
Phone
(814) 288-4498
Fax
(814) 288-5427
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Richard M Kastelic, MDNPI 1548265986
Title
President
Phone
(814) 288-1418

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 MULTIPLE SINGLE SPECIALTY GROUP 103T00000X PS006299L PA Primary

Addresses

Primary practice location

322 Warren St
Ste 300
Johnstown, PA 15905-3443

Mailing address

322 Warren St
Ste 300
Johnstown, PA 15905-3443
Phone (814) 288-4498

Other identifiers 1

IdentifierTypeStateIssuer
1998676OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Berkley Hills Medical Psychology2 Other name

National Provider Directory

National Provider Directory
Tax ID family
Richard M Kastelic MD Assoc PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

322 Warren St
Ste 300
Johnstown, PA 15905
Phone (814) 288-4498

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": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1760669451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WARREN ST",
            "address_2": "STE 300",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053443",
            "telephone_number": "814-288-4498",
            "fax_number": "814-288-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 WARREN ST",
            "address_2": "STE 300",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053443",
            "telephone_number": "814-288-4498",
            "fax_number": "814-288-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M. KASTELIC, MD & ASSOC., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "KASTELIC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-288-1418",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006299L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1998676",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkley Hills Medical Psychology2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.