Institute for Learning & Behavioral Sciences LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00488600 Issued in NJ

Legal business name

INSTITUTE FOR LEARNING & BEHAVIORAL SCIENCES LLC

Practice address

1512 E Caracas Ave Ste 300
Hershey, PA 17033-1184

Phone

(717) 439-5908

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Clint C Stankiewicz, PSY.D.

Title

Executive Director/President

Phone

(717) 439-5908

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1962756031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E CARACAS AVE STE 300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331184",
            "telephone_number": "717-439-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E CARACAS AVE STE 300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331184",
            "telephone_number": "717-439-5908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Beaver Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NJ",
            "postal_code": "088091017",
            "country_code": "US",
            "telephone_number": "610-390-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSTITUTE FOR LEARNING & BEHAVIORAL SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "STANKIEWICZ",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "717-439-5908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00488600",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hershey, PA
• Providers in Hershey, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.