Jeanne M. Slattery, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006910L Issued in PA

Practice address

413 Wood St
Clarion, PA 16214-1337

Phone

(814) 223-8696

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Shamrock Solutions Inc.

  • Community/Behavioral Health Agency
  • Clarion, PA
  • NPI 1174720999
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891716288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141337",
            "telephone_number": "814-223-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141337",
            "telephone_number": "814-223-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "JEANNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006910L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Erin Siegel, PHARMD
• Simply Skin Medical Spa, Inc.
• Matthew Kevin Sitosky, M.ED., LPC, NCC
• Devin Michael Ellery Skinner, ATC
• John R Slagle, RPH
• Keilani Jailynn Slaugenhaupt, CRNP
• David Joseph Smith, MD
• Jacob Smith, DO
• Nicholas Smith, DO
• Owen M Smith III, BS,BA,MS

• Psychologist in Clarion, PA
• Providers in Clarion, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.