Psych Consultants of Berks County

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TP006931C Issued in PA

Legal business name

PSYCH CONSULTANTS OF BERKS COUNTY

Practice address

601 W 5TH St
Mount Carmel, PA 17851-1803

Phone

(570) 875-8058

NPI assigned

Jul 28, 2015

Organization subpart

Yes

Parent organization

PSYCH CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Joan Cicchiello, NP

Title

Executive Director

Phone

(570) 875-8058

Specialties & licenses 3

Addresses

Part of

Psychological Consulatants

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1841675279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511803",
            "telephone_number": "570-875-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH CONSULTANTS OF BERKS COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PSYCH CONSULTANTS",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CICCHIELLO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-875-8058",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP006931C",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP009835",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "TP006931C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy, L.L.C.
• Peter E McNeil MD
• Amy Keating Polites Feese, RDN
• Psych Consultants Berk-Lehigh
• Psych Consultants in Luzerne Valley
• Psych Consultants of Lehigh Valley
• Psychological Consulatants
• Psychological Consultants
• Alyssa Marie Randall, NCC, LPC
• Rcaa Health Services, Inc.

• Adult Health Nurse Practitioner in Mount Carmel, PA
• Providers in Mount Carmel, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.