Braddock Center for Behavioral Medicine

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD025396E Issued in PA

Legal business name

BRADDOCK CENTER FOR BEHAVIORAL MEDICINE

Practice address

200 Medical Arts BLDG
Suite 240
Kittanning, PA 16201-7132

Phone

(724) 543-1043

Fax

(724) 545-1857

NPI assigned

Jun 29, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Louis K Hauber, M.D.NPI 1407829054

Title

Medical Director

Phone

(724) 543-1043

Specialties & licenses 8

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis K Hauber, MD

  • Psychiatry Physician
  • Kittanning, PA
  • NPI 1407829054
  NPD (past) Authorized official
• Virginia L Fox, LCSW

  • Mental Health Counselor
  • Monroeville, PA
  • NPI 1336477561
  NPD (past)
• Susan Tomsic, MSW, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
  • NPI 1922420777
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1851329841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL ARTS BLDG",
            "address_2": "SUITE 240",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017132",
            "telephone_number": "724-543-1043",
            "fax_number": "724-545-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL ARTS BLDG",
            "address_2": "SUITE 240",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017132",
            "telephone_number": "724-543-1043",
            "fax_number": "724-545-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADDOCK CENTER FOR BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HAUBER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-543-1043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS000548L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007325L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW002354E",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014441",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW000943L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW103528",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD025396E",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD025396E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Shay Bono, CRNP
• Jennifer Booher
• Shelby Booth
• Galen Kent Bowser, D.C.
• Kelli Elizabeth Bowser, PT
• Bravis Enterprises Inc (Butler Rehabilitation Centers)
• Breathe Easy Respiratory Care
• Henry L Brown
• Jamie Ellen Brown, CRNP
• Steven Michael Brown, D.C.

• Psychiatry Physician in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.