NPIMap

Individual provider Active NPI

Punyabrata Roy I, M.D.

  • Geriatric Psychiatry Physician
  • Centre Hall, PA
National Provider Identifier
1871755249
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD434383 Issued in PA
Practice address
132 The Meadows Dr
Centre Hall, PA 16828-9231
Phone
(814) 364-2161
Fax
(814) 364-3767
NPI assigned
Jun 27, 2008
Last updated
Jun 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD434383 PA Primary

Addresses

Primary practice location

132 The Meadows Dr
Centre Hall, PA 16828-9231

Mailing address

132 The Meadows Dr
Centre Hall, PA 16828-9231
Phone (814) 364-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000480 PA Practitioner - PsychiatryPractitioner - NeurologyPractitioner - Neuropsychiatry 3678624293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology, Neuropsychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

13193 Ferguson Valley Rd
Yeagertown, PA 17099-9629
Phone (814) 342-5678

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112
Phone (814) 342-5678

60 Industrial Park Rd
Clearfield, PA 16830-6016
Phone (814) 342-5678

620 Washington St
Huntingdon, PA 16652-1722
Phone (814) 342-5678

819 E Main St
Cenclear
Roaring Spring, PA 16673-1357
Phone (814) 224-1380

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

50 Bigler Rd
Woodland, PA 16881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1871755249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 THE MEADOWS DR",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289231",
            "telephone_number": "814-364-2161",
            "fax_number": "814-364-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 THE MEADOWS DR",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289231",
            "telephone_number": "814-364-2161",
            "fax_number": "814-364-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "PUNYABRATA",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD434383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre Hall, PA

Sources for this page

Verify at the official NPI Registry.