Psych Consultants in Luzerne Valley

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

SP009838 Issued in PA

Legal business name

PSYCH CONSULTANTS IN LUZERNE VALLEY

Practice address

601 W 5TH St
Mount Carmel, PA 17851-1803

Phone

(570) 875-8058

Fax

(570) 554-4357

NPI assigned

Jul 29, 2015

Organization subpart

Yes

Parent organization

PSYCH CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Joan Cicchiello, NP

Title

Executive Director

Phone

(570) 875-8058

Specialties & licenses 3

Addresses

Part of

Psychological Consulatants

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1801271010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058",
            "fax_number": "570-554-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058",
            "fax_number": "570-554-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH CONSULTANTS IN LUZERNE VALLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCH CONSULTANTS",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "CICCHIELLO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-875-8058",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP006931C",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "TP006931C",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "SP009838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew O Newton, MD
• Pennsylvania CVS Pharmacy, L.L.C.
• Peter E McNeil MD
• Amy Keating Polites Feese, RDN
• Psych Consultants Berk-Lehigh
• Psych Consultants of Berks County
• Psych Consultants of Lehigh Valley
• Psychological Consulatants
• Psychological Consultants
• Alyssa Marie Randall, NCC, LPC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Mount Carmel, PA
• Providers in Mount Carmel, PA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.