Dezso J Halbauer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD442391 Issued in PA

Practice address

23 Kennedy St Ste 102a
Bradford, PA 16701-2065

Phone

(814) 363-7016

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Childrens Center for Treatment and EducationGroup PAC ID 4880750017, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Children's Center for Treatment and Education

  dba Beacon Light Behavioral Health System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, PA
  • NPI 1366609646
  Medicare reassignment Care Compare group NPD
• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314
  Medicare reassignment NPD
• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • North Warren, PA
  • NPI 1790768471
  Medicare reassignment NPD
• Childrens Center for Treatment and Education

  dba Beacon Light Behavioral Health Systems

  • Clinical Psychologist
  • Bradford, PA
  • NPI 1477626992
  NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD
• Children's Center for Treatment and Education

  dba Beacon Light Behavioral Health Systems

  • Community/Behavioral Health Agency
  • Warren, PA
  • NPI 1043331994
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1992839625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OLD CITY HALL, 23 KENNEDY STREET, SUIT 102A",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-363-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KENNEDY ST STE 102A",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012065",
            "telephone_number": "814-363-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBAUER",
        "first_name": "DEZSO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD442391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna J Gortney, RN
• Nathaniel Lars Graham, M.D.
• Aris Gredzens, M.D.
• Amy Lynn Greene, MACCC SLP
• Danielle P Gregoire, PA-C
• Tammy Michelle Haley, CRNP
• Jafar Hamidi, M.D.
• Jennifer Joy Haney, MSW, LSW
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Robert Raymond Harrie, MD

• Psychiatry Physician in Bradford, PA
• Providers in Bradford, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.