Organization Active NPI

Newton Psychiatric Clinic, L.L.C.

  • Psychiatry Physician
  • Mount Carmel, PA
National Provider Identifier
1972621241
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-064665-L Issued in PA
Legal business name
NEWTON PSYCHIATRIC CLINIC, L.L.C.
Practice address
129 E 5TH St
Mount Carmel, PA 17851-2175
Phone
(570) 339-1828
Fax
(570) 554-8701
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Dr. Andrew O Newton, M.D.NPI 1154349330
Title
Direct Owner Psychiatrist
Phone
(570) 339-1828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD-064665-L PA Primary

Addresses

Primary practice location

129 E 5TH St
Mount Carmel, PA 17851-2175

Mailing address

129 E 5TH St
Mount Carmel, PA 17851-2175
Phone (570) 339-1828

Other identifiers 1

IdentifierTypeStateIssuer
1012389820001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000848 PA Part B Supplier - Clinic/Group Practice 8123060712 Receives reassigned benefits from 4 practitioners
Practice locations: Harrisburg, PA; Mount Carmel, PA

National Provider Directory

National Provider Directory

Locations

6230 Jonestown Rd
Harrisburg, PA 17112

6230 Jonestown Rd
Ste B
Harrisburg, PA 17112

6230 Jonestown Rd
Ste Bc
Harrisburg, PA 17112
Phone (717) 210-0243

129 E 5th St
Mount Carmel, PA 17851
Phone (570) 339-1828

Practitioners & affiliated clinicians

Practitioners 4

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1972621241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512175",
            "telephone_number": "570-339-1828",
            "fax_number": "570-554-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E 5TH ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512175",
            "telephone_number": "570-339-1828",
            "fax_number": "570-554-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON PSYCHIATRIC CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECT OWNER PSYCHIATRIST",
        "authorized_official_telephone_number": "570-339-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-064665-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012389820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.