Psychological Servcies LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PSYCHOLOGICAL SERVCIES LLC

Practice address

615 Howard Ave Ste 207
Altoona, PA 16601-4813

Phone

(814) 312-3459

NPI assigned

May 17, 2019

Organization subpart

No

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

Authorized official

Name

Tracy Dutko, PH.D., LPCNPI 1912144924

Title

PH.D., LPC

Phone

(814) 312-3459

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Lee Dutko, M.S.

  • Mental Health Counselor
  • Altoona, PA
  • NPI 1912144924
  NPD (past) Authorized official

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1922664671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SCHOOLHOUSE DR",
            "city": "ASHVILLE",
            "state": "PA",
            "postal_code": "166137514",
            "telephone_number": "814-312-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOWARD AVE STE 207",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014813",
            "telephone_number": "814-312-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL SERVCIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "DUTKO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PH.D., LPC",
        "authorized_official_telephone_number": "814-312-3459",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Care Health Systems Inc
• Pro Care Health Systems Inc
• Procare PT LP
• Lisa Nicole Prough, LPN
• James Allen Pruitt, MD
• Kimberley M Pugh, LSW
• Anastasia Lee Putt, M.ED, LBS
• Trista Pyeatt, CADC, M. ED
• Nathan Pyle
• Jamie Lee Pyo, MS

• Mental Health Counselor in Altoona, PA
• Providers in Altoona, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; 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.