Individual provider Active NPI

Beth A. Bollinger, M.D.

  • Psychiatry Physician
  • Huntingdon, PA
National Provider Identifier
1952446528
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD060186-L Issued in PA
Practice address
900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone
(814) 643-6300
Fax
(814) 643-8776
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD060186-L PA Primary

Addresses

Primary practice location

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Mailing address

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone (814) 643-6300

Other identifiers 2

IdentifierTypeStateIssuer
950768OtherPABLUE SHIELD
01720276MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000754 PA Practitioner - Psychiatry 7416900105 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060186-LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Somerset Developmental and Behavioral Health Services CurrentSince Jul 3, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
The Pennsylvania State University Past Accepting new patients
The Pennsylvania State University Psychiatry Past Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. Psychiatry Past Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. PastSince Dec 1, 2005 Accepting new patients

Locations

1243 Shed Rd
Bedford, PA 15522
Phone (814) 623-5166

245 W Race St
Somerset, PA 15501
Phone (814) 443-4891

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952446528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-6300",
            "fax_number": "814-643-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "BETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD060186-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "950768",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01720276",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.