Individual provider Active NPI

Frank James Vita, PHD

  • Psychologist
  • Hazleton, PA
National Provider Identifier
1972791820
Registry record updated Feb 5, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jun 18, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006535L Issued in PA
Practice address
1747 E Broad St
Suite B
Hazleton, PA 18201-5621
Phone
(570) 501-1600
Fax
(570) 501-1600
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00215200 NJ
Psychologist 103T00000X PS006535L PA Primary

Addresses

Primary practice location

1747 E Broad St
Suite B
Hazleton, PA 18201-5621

Mailing address

1747 E Broad St
Suite B
Hazleton, PA 18201-5621
Phone (570) 501-1600

Other identifiers 3

IdentifierTypeStateIssuer
0015541660005MedicaidPA
0015541660003MedicaidPA
VI564323OtherPABLUE CROSS/BLUE SHIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37PC00215200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Healing and Psychotherapy Psychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1972791820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 E BROAD ST",
            "address_2": "SUITE B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015621",
            "telephone_number": "570-501-1600",
            "fax_number": "570-501-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 E BROAD ST",
            "address_2": "SUITE B",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015621",
            "telephone_number": "570-501-1600",
            "fax_number": "570-501-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITA",
        "first_name": "FRANK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00215200",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006535L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015541660005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015541660003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIED",
            "identifier": "VI564323",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.