UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC (NPI# 1053372417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053372417 |
| Entity Type | Organization |
| Organization Name | UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC |
| Practice Address |
4800 Linglestown Rd Ste 303 Harrisburg PA 17112 |
| Mailing Address |
2321 Forest Lane Hamsburg PA 17112 |
| Practice Telephone | 7175451427 |
| Practice Fax Number | 7175451428 |
| Mailing Telephone | 7175410659 |
| Mailing Fax Number | 7175451428 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. INGRID S JOBE (ADMINISTRATOR) |
| Authorized Official Telephone | 7175451427 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD048681L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK BLUE SHIELD | 1560885 | 01 | |
| BLUE CROSS | 50023462 | 01 |
| Street Address |
4800 LINGLESTOWN RD STE 303 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713653 | Frederick E Henry | Social Worker | 4800 Linglestown Rd, Suite 303, Harrisburg, PA 17112-9183 | 2005-07-08 |
| 1710377668 | C.a. Clarity Hearing Aids, LLC | Hearing Aid Equipment | 4800 Linglestown Rd, Suite 205, Harrisburg, PA 17112-9183 | 2015-01-30 |
| 1003001777 | Carmen L Luk | Physical Therapist | 4800 Linglestown Rd, Harrisburg, PA 17112-9183 | 2007-09-06 |
| 1750438297 | Elite Staffing Services Inc | Home Health | 4800 Linglestown Rd, Suite 200, Harrisburg, PA 17112-9183 | 2007-01-05 |
| 1639248495 | Bruce Goodman | Orthopaedic Surgery | 4800 Linglestown Rd, Ste 102, Harrisburg, PA 17112-9507 | 2006-11-07 |
| 1225096431 | David Brian Raptosh | Occupational Therapist | 4800 Linglestown Rd, Suite 102, Harrisburg, PA 17112-9183 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982043568 | Jasmin Gange Lagman | Psychiatry & Neurology | 2501 N 3rd St, Harrisburg, PA 17110 | 2013-06-18 |
| 1215185103 | Olayinka Morenike Ajayi | Psychiatry & Neurology | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2008-09-04 |
| 1568688455 | Belal Elamir | Psychiatry & Neurology | 205 S Front St, 5th Floor Bma, Harrisburg, PA 17104-1619 | 2007-04-18 |
| 1427195742 | Elizabeth Montagnese | Psychiatry & Neurology | 121 Locust St, Harrisburg, PA 17101-1411 | 2007-01-30 |
| 1124101407 | Jeanette Morales-brand | Psychiatry & Neurology | 205 S Front St, Harrisburg, PA 17104-1619 | 2006-10-23 |
| 1912008285 | Lizabeth Ann Potter | Psychiatry & Neurology | 5351 Jaycee Ave # C, Suite 1, Harrisburg, PA 17112-2938 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on UPWARD BOUND PSYCHIATRY & PSYCHOTHERAPY SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.