Organization Active NPI

Mount Carmel Mental Health Center LLC

  • Psychologist
  • Mount Carmel, PA
National Provider Identifier
1801372123
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006073L Issued in PA
Legal business name
MOUNT CARMEL MENTAL HEALTH CENTER LLC
Practice address
129 E 5TH St
Mount Carmel, PA 17851-2175
Phone
(570) 933-4179
Fax
(570) 339-1924
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Allan A Santarelli, LICENSED PSYCHOLOGISNPI 1326150236
Title
President/Owner
Phone
(570) 933-4179

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 SINGLE SPECIALTY GROUP 103T00000X PS006073L PA Primary

Addresses

Primary practice location

129 E 5TH St
Mount Carmel, PA 17851-2175

Mailing address

316 S Hickory St
Mount Carmel, PA 17851-2253
Phone (570) 933-4179

National Provider Directory

National Provider Directory

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1801372123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S HICKORY ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512253",
            "telephone_number": "570-933-4179",
            "fax_number": "570-339-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512175",
            "telephone_number": "570-933-4179",
            "fax_number": "570-339-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SANTARELLI",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "570-933-4179",
        "authorized_official_credential": "LICENSED PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006073L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.