Active NPI
BBH LLC
- Psychologist
- Brookville, PA
National Provider Identifier
1922334580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- BBH LLC
- Practice address
- 70 2ND St
Suite a
Brookville, PA 15825-1556 - Phone
- (814) 849-2844
- Fax
- (814) 849-3425
- NPI assigned
- Nov 2, 2009
- 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
- Glenn Tetro
- Title
- Director
- Phone
- (814) 648-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
70 2ND St
Suite a
Brookville, PA 15825-1556
Mailing address
70 2ND St
Suite a
Brookville, PA 15825-1556
Phone (814) 849-2844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023192610001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- BBH LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prescribing (Medical) Psychologist
- Brookville, PA
- NPI 1114253770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1922334580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 2ND ST",
"address_2": "SUITE A",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158251556",
"telephone_number": "814-849-2844",
"fax_number": "814-849-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 2ND ST",
"address_2": "SUITE A",
"city": "BROOKVILLE",
"state": "PA",
"postal_code": "158251556",
"telephone_number": "814-849-2844",
"fax_number": "814-849-3425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BBH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "TETRO",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "814-648-0312"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023192610001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.