MEDICARE: AARON CENTER, INC.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	104100000X	Social Worker	SW126460	PA
3	1041C0700X	Clinical Social Worker	CW015803	PA
4	106H00000X	Marriage & Family Therapist	MF000529	PA
5	174400000X	Specialist	MD 026802E	PA
6	225100000X	Physical Therapist
7	225400000X	Rehabilitation Practitioner
8	225X00000X	Occupational Therapist
9	235Z00000X	Speech-Language Pathologist
10	363AM0700X	Medical Physician Assistant	MA050936	PA
11	2084P0800X	Psychiatry Physician	MD041016L	PA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	TH1696094	OTHER	PA	HIGHMARK
2	0000000162726	OTHER	PA	MED. PLUS
3	TH1668074	OTHER	PA	HIGHMARK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1386628691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AARON CENTER, INC.

Provider Business Mailing Address
First Line	:	116 LARCH ST STE 300
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18509-2802
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

Provider Business Practice Location Address
First Line	:	116 LARCH ST STE 300
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18509-2802
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. KATHERINE YANICK
Credential	:	B.S.
Telephone Number	:	570-489-5561

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	02/06/2024