Organization Active NPI

Tri County Human Services Center Inc

  • Psychologist
  • Carbondale, PA
National Provider Identifier
1902082472
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TRI COUNTY HUMAN SERVICES CENTER INC
Practice address
185 Fallbrook St
Carbondale, PA 18407-0514
Phone
(570) 282-1732
Fax
(570) 282-6808
NPI assigned
Jan 15, 2008
Organization subpart
Yes
Parent organization
TRI COUNTY HUMAN SERVICES CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mr. Spencer A Moore
Title
Executive Director
Phone
(570) 282-1732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PA Primary

Addresses

Primary practice location

185 Fallbrook St
Carbondale, PA 18407-0514

Mailing address

185 Fallbrook St
PO Box 514
Carbondale, PA 18407-0514
Phone (570) 282-1732

National Provider Directory

National Provider Directory
Tax ID family
Tri County Human Servic8 organizations share this tax ID, including this one
Part of
Tri County Human Servic

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1902082472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FALLBROOK ST",
            "address_2": "PO BOX 514",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FALLBROOK ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184070514",
            "telephone_number": "570-282-1732",
            "fax_number": "570-282-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY HUMAN SERVICES CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI COUNTY HUMAN SERVICES CENTER INC",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-282-1732",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.