Active NPI
Gestalt Development Center, LLC
- Community/Behavioral Health Agency
- Harrisburg, PA
National Provider Identifier
1891173126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- PC006696
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.