NPIMap

Organization Active NPI

Excela Health Physician Practices, Inc.

  • Psychologist
  • Latrobe, PA
National Provider Identifier
1831655091
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Practice address
100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001
Phone
(724) 537-1480
Fax
(724) 539-6353
NPI assigned
Feb 13, 2019
Organization subpart
Yes
Parent organization
EXCELA HEALTH HOLDING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Renee M Varney
Title
Credentialing Coordinator
Phone
(724) 850-6933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001

Mailing address

134 Industrial Park Rd Ste 2400
Greensburg, PA 15601-7848
Phone (724) 454-6099

Other practice location 1

508 S Church St Ste 100
MT Pleasant, PA 15666-1702
Phone (724) 547-4536

Other practice location 2

101 9th St
Saltsburg, PA 15681-8985
Phone (724) 639-3541

Other names 1

  • Family Medicine Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001393 PA Part B Supplier - Clinic/Group Practice 6204737117 Receives reassigned benefits from 767 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Excela Health Connellsville Internal Med-Dr Tiberio42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

508 S Church St
Ste 100
Mt Pleasant, PA 15666
Phone (724) 547-4536

101 9th St
Saltsburg, PA 15681
Phone (724) 639-3541

Practitioners & affiliated clinicians

Practitioners 9

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": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1831655091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD STE 2400",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017848",
            "telephone_number": "724-454-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 301",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-537-1480",
            "fax_number": "724-539-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Church St Ste 100",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "PA",
            "postal_code": "156661702",
            "country_code": "US",
            "telephone_number": "724-547-4536",
            "fax_number": "724-547-3799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 9th St",
            "address_purpose": "LOCATION",
            "city": "Saltsburg",
            "state": "PA",
            "postal_code": "156818985",
            "country_code": "US",
            "telephone_number": "724-639-3541",
            "fax_number": "724-639-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCELA HEALTH PHYSICIAN PRACTICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCELA HEALTH HOLDING COMPANY",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "VARNEY",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "724-850-6933"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.