NPIMap

Individual provider Active NPI

Craig Sherman Feaster, M.D.

  • Child & Adolescent Psychiatry Physician
  • State College, PA
National Provider Identifier
1912905795
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD 072243 L Issued in PA
Practice address
320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone
(814) 867-0670
Fax
(814) 867-7616
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD 072243 L PA Primary

Addresses

Primary practice location

320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641

Mailing address

320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone (814) 867-0670

Other identifiers 1

IdentifierTypeStateIssuer
18467600002MedicaidPA

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
I20100923000265 PA Practitioner - Psychiatry 4587780929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1996
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
Susquehanna Valley Professional Associates, IncGroup PAC ID 5395648745, 12 clinicians

Practice addresses (Care Compare)

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

320 Rolling Ridge Dr
Suite 100
State College, PA 16801-7641
Phone (814) 867-0670

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

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 072243 LPAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cen Clear Child Services, Inc. CurrentSince Aug 1, 2011 Accepting new patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Aug 14, 2018 Accepting new patients
Susquehanna Valley Professional Associates, Inc CurrentSince Oct 23, 2001 Accepting new patients
Nulton Diagnostic & Treatment Center, PC CurrentSince Aug 14, 2018 Accepting new patients
Caring Healthcare Network Past Accepting new patients
Mount Nittany Medical Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866
Phone (814) 342-5845

320 Rolling Ridge Dr
Ste 100
State College, PA 16801
Phone (814) 867-0670

50 Bigler Rd
Woodland, PA 16881

Interoperability endpoints

  • Direct secure messaging: craig.feaster@sunpointehealth.medentdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1912905795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROLLING RIDGE DR",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017641",
            "telephone_number": "814-867-0670",
            "fax_number": "814-867-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ROLLING RIDGE DR",
            "address_2": "SUITE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017641",
            "telephone_number": "814-867-0670",
            "fax_number": "814-867-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASTER",
        "first_name": "CRAIG",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD 072243 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18467600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.