MOUNT NITTANY MEDICAL CENTER


Address: 1800 E Park Ave, State College, PA 16803-6701
Phone: 8142317000

MOUNT NITTANY MEDICAL CENTER (NPI# 1710958251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710958251
Entity Type Organization
Organization Name MOUNT NITTANY MEDICAL CENTER
Other Organization Name MENTAL HEALTH UNIT
Practice Address 1800 E Park Ave
State College
PA 16803-6701
Practice Telephone 8142317000
Mailing Telephone 8142317000
Enumeration Date 2006-02-01
Last Update Date 2008-03-26
Authorized Official Name MR. RICHARD J WISNIEWSKI (SENIOR VICE PRESIDENT OF FINANCIAL)
Authorized Official Telephone 8142346148
Is Organization Subpart Y
Parent Organization Name MOUNT NITTANY MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 39S268 PA Hospital Units

Other Provider/Organization Names

Other Name Type Code
Mental Health Unit Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528321015 Mount Nittany Medical Center Anesthesiology 1800 E Park Ave, State College, PA 16803-6709 2012-06-19
1215102355 Mount Nittany Medical Center General Acute Care Hospital 120 Radnor Rd, State College, PA 16801-7970 2008-04-29
1598930638 Mount Nittany Medical Center General Acute Care Hospital 120 Radnor Rd, State College, PA 16801-7970 2008-04-29
1235339243 Mount Nittany Medical Center Prosthetic/Orthotic Supplier 120 Radnor Rd, Mnmc - Orthotics, State College, PA 16801-7970 2007-07-19
1346371507 Mount Nittany Medical Center General Acute Care Hospital 1800 E Park Ave, State College, PA 16803-6701 2007-03-08
1780752378 Mount Nittany Medical Center Clinic/Center 1800 E Park Ave, State College, PA 16803-6701 2006-12-01
1780750620 Mount Nittany Medical Center Clinic/Center 1850 E Park Ave, State College, PA 16803-6706 2006-11-24
1104991801 Mount Nittany Medical Center Clinic/Center 911 University Dr, State College, PA 16801-6626 2006-11-21
1730173154 Mount Nittany Medical Center General Acute Care Hospital 1800 E Park Ave, State College, PA 16803-6701 2005-08-31
1912906207 Mount Nittany Medical Center Ambulance 1800 E Park Ave, State College, PA 16803-6701 2005-07-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MOUNT NITTANY MEDICAL CENTER 1800 E Park Ave, State College, PA 16803-6709

Office Location

Street Address 1800 E PARK AVE
City STATE COLLEGE
State PA
Zip Code 16803-6701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306841929 Centre Diagnostic Imaging, PC Radiology 1800 E Park Ave, State College, PA 16803-6701 2005-06-20
1235756982 Gary Whitaker Nurse Anesthetist, Certified Registered 1800 E Park Ave, State College, PA 16803-6701 2020-06-29
1366005225 Lauren C. Hahn Physician Assistant 1800 E Park Ave, State College, PA 16803-6797 2019-04-17
1760954093 Bryson Anderson Nurse Anesthetist, Certified Registered 1800 E Park Ave, State College, PA 16803-6709 2018-12-27
1518449644 Chase B Cohron Nurse Practitioner 1800 E Park Ave, State College, PA 16803-6709 2018-09-05
1356856819 Joeleen Marie Stocker Dietitian, Registered 1800 E Park Ave, Nutrition & Culinary Services, State College, PA 16803 2017-12-06
1417487257 Robin Tuttle Physician Assistant 1800 E Park Ave, State College, PA 16803-6709 2017-06-14
1710415443 Alissa Ann Franklin Nurse Anesthetist, Certified Registered 1800 E Park Ave, State College, PA 16803-6709 2017-05-25
1457885188 Sarah A Guillard Nurse Practitioner 1800 E Park Ave, State College, PA 16803-6709 2017-04-19
1417496803 Jill Martin Physician Assistant 1800 E Park Ave, State College, PA 16801-5602 2017-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851581 Tammy Lynn Terosky Massage Therapist 2134 Sandy Drive, Suite 6, State College, PA 16803 2020-08-12
1548748973 Molly Gomez Occupational Therapist 260 Lions Hill Road, State College, PA 16803 2018-07-28
1568981827 David Scott Kautz Pharmacist 1665 North Atherton Place, State College, PA 16803 2017-09-18
1245751023 Zenovia Tarmohamed Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 2017-06-30
1407205362 Alka Sood Student in an Organized Health Care Education/Training Program 1850 E. Park Avenue, State College, PA 16803 2016-06-10
1588018766 Daniel Frankel Student in an Organized Health Care Education/Training Program 1850 East Park Avenue, Suite 207, State College, PA 16803 2016-04-14
1154791903 Megan Widener Physician Assistant 2520 Green Tech Dr., Ste. D, State College, PA 16803 2015-10-05
1114301330 Phuong Tran Courtney Physician Assistant 1613 North Atherton Street, Suite B, State College, PA 16803 2015-07-17
1164806840 Amit Thatte Student in an Organized Health Care Education/Training Program 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 2015-07-13
1245588946 Phoenix Rehabilitation and Health Services, Inc. Chiropractor 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 2012-08-28
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366596488 Meadville Medical Center Psychiatric Unit 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 2007-01-23
1023129707 The Children's Institute of Pittsburgh Psychiatric Unit 6301 Northumberland St, Pittsburgh, PA 15217-1360 2006-08-31
1588771216 Pinnacle Health Hospitals Psychiatric Unit 2401 N 3rd St, Harrisburg, PA 17110-1902 2006-08-25
1356354567 Blue Mountain Hospital Psychiatric Unit 211 North 12th Street, Lehighton, PA 18235-1138 2006-08-15
1194755892 Tenet Health System Hahnemann, LLC Psychiatric Unit Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 2006-07-05
1649897562 Highlands Hospital and Health Center Psychiatric Unit 401 E Murphy Ave, Connellsville, PA 15425-2724 2020-06-26
1336786276 Somerset Health Services, Inc. Psychiatric Unit 225 S Center Ave, Somerset, PA 15501-2033 2019-12-10
1649746488 Upmc Williamsport Psychiatric Unit 1100 Grampian Blvd, Williamsport, PA 17701-1909 2018-10-19
1184116774 Schuylkill Medical Center - South Jackson Street Psychiatric Unit 700 E Norwegian St, Pottsville, PA 17901-2710 2018-05-31
1629578604 Calvin A Alvesvelez Psychiatric Unit 500 University Dr, Hershey, PA 17033-2360 2018-02-16
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Competitor

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City STATE COLLEGE
Zip Code 16803

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Dataset Information

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.

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