Organization Active NPI

Acorn Health Assoc PC

  • Rehabilitation Psychologist
  • Harrisburg, PA
National Provider Identifier
1790870533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PS003606L Issued in PA
Legal business name
ACORN HEALTH ASSOC PC
Practice address
4410 Linglestown Rd
Harrisburg, PA 17112
Phone
(717) 545-1938
Fax
(717) 545-1948
NPI assigned
Oct 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Thomas E Fink, PHDNPI 1548390040
Title
Psychologist
Phone
(717) 545-1938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

4410 Linglestown Rd
Harrisburg, PA 17112
Phone (717) 545-1938

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X PS003606L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

4410 Linglestown Rd
Harrisburg, PA 17112

Mailing address

PO Box 60747
Harrisburg, PA 17106
Phone (717) 545-1938

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
AC1425050OtherPABLUE SHIELD
0013914180004MedicaidPA
02306500OtherPABLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790870533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60747",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17106",
            "telephone_number": "717-545-1938",
            "fax_number": "717-545-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17112",
            "telephone_number": "717-545-1938",
            "fax_number": "717-545-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN HEALTH ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-545-1938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "PA",
            "license": "PS003606L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AC1425050",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013914180004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02306500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.