Organization Active NPI

Project Point of Light of Dubois Inc

  • Clinical Psychologist
  • Du Bois, PA
National Provider Identifier
1962648774
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS007390L Issued in PA
Legal business name
PROJECT POINT OF LIGHT OF DUBOIS INC
Practice address
170 McCracken Run Rd
Du Bois, PA 15801-3616
Phone
(814) 371-5565
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
William G Allenbaugh II, PSYCHOLOGIST
Title
Owner
Phone
(814) 371-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS007390L PA Primary

Addresses

Primary practice location

170 McCracken Run Rd
Du Bois, PA 15801-3616

Mailing address

170 McCracken Run Road
Dubois, PA 15801-3616
Phone (814) 371-5565

Other names 1

  • ALLENBAUGH BEHAVIOR SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

170 McCracken Run Rd
Dubois, PA 15801
Phone (814) 371-5565

300 Center St
Ridgway, PA 15853
Phone (814) 371-5565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1962648774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MCCRACKEN RUN ROAD",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "158013616",
            "telephone_number": "814-371-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MCCRACKEN RUN RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013616",
            "telephone_number": "814-371-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT POINT OF LIGHT OF DUBOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "ALLENBAUGH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-371-5565",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007390L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLENBAUGH BEHAVIOR SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.