County of Centre

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

COUNTY OF CENTRE

Practice address

420 Holmes St
Ground Floor
Bellefonte, PA 16823-1401

Phone

(814) 355-6782

Fax

(814) 355-6985

NPI assigned

Apr 30, 2007

Organization subpart

No

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

Authorized official

Name

Carol J Waltz

Title

Administrator

Phone

(814) 355-6782

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Centre County BSU Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Centre County MH Id Ei Da

  • Case Management Agency
  • State College, PA
  • NPI 1447470521
  NPPES parent name
• Centre County MH Id Ei Da

  • Case Management Agency
  • State College, PA
  • NPI 1518187699
  NPPES parent name

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1790905875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HOLMES ST",
            "address_2": "GROUND FLOOR",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231401",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HOLMES ST",
            "address_2": "GROUND FLOOR",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231401",
            "telephone_number": "814-355-6782",
            "fax_number": "814-355-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-355-6782"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007296630012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centre County BSU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centre Medical and Surgical Associates, P.C.
• Centre Medical and Surgical Associates, P.C.
• Susan K. Clouser, P.T
• Teresa Fernandes Collins, M.ED.
• Roberta Cooke, HIS
• Susan C Covey, O.D.
• John Paul Coxey, CRNP, DNP
• Melody Joy Cramer, LMT
• Beth Suzanne Crist, PT
• Mary Cronin

• Psychiatry Physician in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.