NPIMap

Organization Active NPI

Dickinson Mental Health Center, Inc

  • Case Management Agency
  • Ridgway, PA
National Provider Identifier
1992824064
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DICKINSON MENTAL HEALTH CENTER, INC
Practice address
111 W Main St
Ridgway, PA 15853-1608
Phone
(814) 776-0250
Fax
(814) 776-1470
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Mr. Michael Galluzzi
Title
Ceo
Phone
(814) 776-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X PA Primary

Addresses

Primary practice location

111 W Main St
Ridgway, PA 15853-1608

Mailing address

110 Lincoln St
Ridgway, PA 15853-1939
Phone (814) 776-0250

Other names 1

  • RC Other name

National Provider Directory

National Provider Directory
Tax ID family
Dickinson Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1992824064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LINCOLN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531939",
            "telephone_number": "814-776-0250",
            "fax_number": "814-776-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W MAIN ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531608",
            "telephone_number": "814-776-0250",
            "fax_number": "814-776-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON MENTAL HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GALLUZZI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-776-2145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgway, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.