Unknown Individual – Psychiatry Physician, NPI 1801856331
Psychiatry Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
56, Myers Street, Forty Fort, Luzerne County, Pennsylvania, 18704, United States
FORTY FORT, PA 187045027
Phone: (267) 240-2945
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 18704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | PA | 90792 | Psychiatric diagnostic evaluation with medical services | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Clinical Social Worker | PA | |
| - | PA | |
| Clinical Social Worker | PA | |
| - | PA | |
| - | FL | |
| P S Y C H I A T R Y | MD | |
| Mental Health Counselor | PA | |
| - | PA | |
| Mental Health Counselor | NY |
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