Active NPI
Excentia Human Services
- Speech-Language Pathologist
- Lancaster, PA
National Provider Identifier
1801488564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- EXCENTIA HUMAN SERVICES
- Practice address
- 1810 Rohrerstown Rd
Lancaster, PA 17601-2322 - Phone
- (717) 519-6740
- NPI assigned
- Feb 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Shaak
- Title
- Chief Executive Officer
- Phone
- (717) 519-6740
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Physical Therapist | 225100000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1810 Rohrerstown Rd
Lancaster, PA 17601-2322
Mailing address
1810 Rohrerstown Rd
Lancaster, PA 17601-2322
Phone (717) 519-6740
Other names 1
- PAI Corporation
National Provider Directory
National Provider Directory- Tax ID family
- Excentia Human Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1801243712
-
- Speech-Language Pathologist
- Lancaster, PA
- NPI 1043856669
-
- Pediatric Physical Therapist
- Lancaster, PA
- NPI 1366883894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1801488564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 ROHRERSTOWN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012322",
"telephone_number": "717-519-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 ROHRERSTOWN RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012322",
"telephone_number": "717-519-6740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCENTIA HUMAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-04",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "SHAAK",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "717-519-6740"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PAI Corporation",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.