NPIMap

Organization Active NPI

Behavioral Health PC

Doing business as Allied Behavioral Clinicians 2667429

  • Clinical Psychologist
  • Mechanicsburg, PA
National Provider Identifier
1952652554
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2667429 Issued in PA
Legal business name
BEHAVIORAL HEALTH PC
Doing business as
Allied Behavioral Clinicians 2667429
Practice address
1229 Scenery Dr
Mechanicsburg, PA 17050
Phone
(717) 796-6550
Fax
(717) 796-6551
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Dr. Raymond Simon Klein, ED.D
Title
Owner/Psychologist
Phone
(717) 796-6550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2667429 PA
Psychologist 103T00000X 2667429 PA
Clinical Psychologist 103TC0700X 2667429 PA Primary

Addresses

Primary practice location

1229 Scenery Dr
Mechanicsburg, PA 17050

Mailing address

1229 Scenery Dr
Mechanicsburg, PA 17050
Phone (717) 796-6550

Other identifiers 2

IdentifierTypeStateIssuer
07633599MedicaidPA
680011956OtherPARAILROAD MEDICARE

Other names 1

  • Allied Behavioral Clinicians 2667429 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1952652554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 SCENERY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-796-6550",
            "fax_number": "717-796-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SCENERY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17050",
            "telephone_number": "717-796-6550",
            "fax_number": "717-796-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "717-796-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "2667429",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "2667429",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "2667429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07633599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680011956",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Behavioral Clinicians 2667429",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.