St. Michael's Sanctuary, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. MICHAEL'S SANCTUARY, LLC

Practice address

655 Church St Ste 132
Indiana, PA 15701-2894

Phone

(814) 243-1563

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Jason Thomas Link, LPCNPI 1164447223

Title

Owner/Operator

Phone

(814) 243-1563

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Thomas Link, LPC

  • Professional Counselor
  • Indiana, PA
  • NPI 1164447223
  NPD Authorized official
• Robert Paul Snyder, D.O.

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1932598414
  NPD (past)

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1831852466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CHURCH ST STE 132",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012894",
            "telephone_number": "814-243-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CHURCH ST STE 132",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012894",
            "telephone_number": "814-243-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S SANCTUARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "814-243-1563",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kareo.com",
            "affiliation": "N",
            "endpointDescription": "EMR Kareo",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 Church St Ste 132",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157012894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bina Soni, M.A.
• Danielle Sorber
• Spark of Awareness Counseling, LLC
• Carrie Ann Speal-Pavolik, RPH
• Vincent Joseph Spellane, DPT,CSCS,CWT,BS,AS
• Angel Stagi
• Tannen Stahley-Lake, PSYD
• Edward Stancombe, LSW
• Roseann M Staniscia, CRNA
• Stephen Staniscia, BA

• Internal Medicine Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.