BEAVER PSYCHIATRIC SERVICES, LLC (NPI# 1457803843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457803843 |
| Entity Type | Organization |
| Organization Name | BEAVER PSYCHIATRIC SERVICES, LLC |
| Practice Address |
935 Bank St Beaver PA 15009-2603 |
| Mailing Address |
336 College Ave Suite 102 Beaver PA 15009-2231 |
| Practice Telephone | 7245449190 |
| Mailing Telephone | 7245449190 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | MARCY MCCORMICK (OWNER) |
| Authorized Official Telephone | 7245449190 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP012444 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
935 BANK ST |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831443688 | Marcy Mccormick | Nurse Practitioner | 336 College Ave, Ste 102, Beaver, PA 15009-2231 | 2012-11-01 |
| 1285745117 | Joseph R Truskowski | Nurse Practitioner | 219 Third Street, Beaver, PA 15009-2301 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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| 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.