Psychological and Neurobehavioral Associates Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

015110 Issued in PA

Legal business name

PSYCHOLOGICAL AND NEUROBEHAVIORAL ASSOCIATES INC

Practice address

204 E Calder Way Ste 205
State College, PA 16801-4756

Phone

(814) 235-5588

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Ruben J Echemendia, PHD

Title

President

Phone

(814) 235-5588

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Jessica Leigh Montrella, LCSW

  • Clinical Social Worker
  • State College, PA
  • NPI 1770722795
  NPD (past)

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1801027024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CALDER WAY STE 205",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CALDER WAY STE 205",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014756",
            "telephone_number": "814-235-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL AND NEUROBEHAVIORAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "ECHEMENDIA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-235-5588",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "4781L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "015110",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward R. Prince, M.D.
• Elizabeth Pringle
• Jeffrey W. Pro, M.D.
• Shayne E Pruitt
• Jordan Elizabeth Prutzer, DPT
• Susan M Puglisi, CRNP
• Barbara A Purdum, CRNP
• Purely Rooted Nutrition and Wellness
• Purposeful U Counseling (Valerie Noel, LPC)
• QBC, LLC

• Clinical Psychologist in State College, PA
• Providers in State College, 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 5, 2009; 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.