Active NPI
Community Medical Center
- Psychiatry Physician
- Scranton, PA
National Provider Identifier
1912988510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- COMMUNITY MEDICAL CENTER
- Practice address
- 1800 Mulberry St
Scranton, PA 18510-2369 - Phone
- (570) 346-7797
- Fax
- (570) 342-9802
- NPI assigned
- Nov 10, 2005
- Last updated
- Aug 5, 2021
- Organization subpart
- Yes
- Parent organization
- COMMUNITY MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy L Mull
- Title
- System Director
- Phone
- (570) 271-6603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | PA | Primary |
Addresses
Primary practice location
1800 Mulberry St
Scranton, PA 18510-2369
Mailing address
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007456760020 | Medicaid | PA | |
| 000644170004 | Medicaid | PA |
Other names 1
- Psychiatry Physicians
National Provider Directory
National Provider Directory- Part of
- Neonatal Physicians
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1912988510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178229800",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MULBERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102369",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY MEDICAL CENTER",
"enumeration_date": "2005-11-10",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "MULL",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SYSTEM DIRECTOR",
"authorized_official_telephone_number": "570-271-6603"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007456760020",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000644170004",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Psychiatry Physicians",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Psychiatry Physicians",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Scranton, PA
- Community Medical Center (Geisinger Cardiology Scranton, A service of GCMC)
- Community Medical Center (Geisinger Community Medical Center)
- Community Medical Center (Geisinger Community Medical Center)
- Community Medical Center
- Community Medical Center
- Community Medical Center (Maternal Fetal Medicine)
- Community Medical Center
- Community Medical Center Tcu
- Community Medical Professionals
- Complete Care Family Chiropractic, LLC (Balanced Health Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.