Katie's Place Clubhouse

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KATIE'S PLACE CLUBHOUSE

Practice address

247 Penn Ave
Scranton, PA 18503-1918

Phone

(272) 228-3294

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SCRANTON COUNSELING CENTERAs reported in NPPES

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

Authorized official

Name

Sarah Wodder, PSY.D.

Title

President/Ceo

Phone

(570) 348-6100

Specialties & licenses 1

Addresses

Part of

Scranton Counseling Ctr

Locations

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1811746340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031918",
            "telephone_number": "272-228-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 PENN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031918",
            "telephone_number": "272-228-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE'S PLACE CLUBHOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCRANTON COUNSELING CENTER",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "WODDER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "570-348-6100",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lillian Kargul, NP
• Sailesh Karki, MBBS
• Melissa Karoscik
• Natasha Karp
• Laura Kashetta, LMT
• Luka Katsitadze, M.D.
• Prathiba Katta, M.D
• Inderjit Kaur, M.D.
• Jasleen Kaur, MD
• Kamalpreet Kaur, M.B.B.S

• Mental Health Clinic/Center (Including Community Mental Health Center) in Scranton, PA
• Providers in Scranton, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.