Organization Active NPI

Gestalt Development Center, LLC

  • Community/Behavioral Health Agency
  • Harrisburg, PA
National Provider Identifier
1891173126
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC006696 Issued in PA
Legal business name
GESTALT DEVELOPMENT CENTER, LLC
Practice address
2023 N 2ND St
Suite 111
Harrisburg, PA 17102-2151
Phone
(814) 244-0501
Fax
(717) 695-9520
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Mr. Christopher Watkins, L.P.C.
Title
Ceo
Phone
(814) 244-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC006696 PA Primary

Addresses

Primary practice location

2023 N 2ND St
Suite 111
Harrisburg, PA 17102-2151

Mailing address

2023 N 2ND St
Suite 111
Harrisburg, PA 17102-2151
Phone (814) 244-0501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1891173126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 N 2ND ST",
            "address_2": "SUITE 111",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022151",
            "telephone_number": "814-244-0501",
            "fax_number": "717-695-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 N 2ND ST",
            "address_2": "SUITE 111",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022151",
            "telephone_number": "814-244-0501",
            "fax_number": "717-695-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESTALT DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-244-0501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC006696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.