MEDICARE: INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	313180	PA
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center	313180	PA
3	261Q00000X	Clinic/Center	313180	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1359155	OTHER	PA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1350119	OTHER	PA	BLUE SHIELD (MANAGED CARE

General Provider Information

NPI Number	:	1598874414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC.

Provider Business Mailing Address
First Line	:	900 BRYAN STREET
Second Line	:	SUITE 5
City	:	HUNTINGDON
State	:	PA
Zip	:	16652
Country	:	US
Telephone Number	:	814-643-6300
Fax Number	:	814-643-8776

Provider Business Practice Location Address
First Line	:	900 BRYAN ST
Second Line	:	SUITE 5
City	:	HUNTINGDON
State	:	PA
Zip	:	16652-2413
Country	:	US
Telephone Number	:	814-643-6300
Fax Number	:	814-643-8776

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. MARK M. PETERS
Credential	:	M.A.
Telephone Number	:	814-643-6300

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/11/2021

Similar Medicare Providers

1760488878 — DR. RONALD FISHER M.D.
Practice Location Address:

900 BRYAN ST , SUITE 5
HUNTINGDON, PA
16652-2413

Practice Phone: 814-643-8442
Practice Fax: 814-643-8776

1326044421 — MOLLY ETTENGER M.D.
Practice Location Address:

900 BRYAN ST
HUNTINGDON, PA
16652-2413

Practice Phone: 814-643-8300
Practice Fax: 814-643-8299

1750352506 — CRESCENT D MILLER PA
Practice Location Address:

900 BRYAN ST STE 7
HUNTINGDON, PA
16652-2413

Practice Phone: 814-643-8600
Practice Fax:

1407818180 — MICHAEL F GAUGLER D.O.F.A.C.O.I.
Practice Location Address:

900 BRYAN ST STE 7
HUNTINGDON, PA
16652-2413

Practice Phone: 814-644-1141
Practice Fax: 814-643-9451

1366554784 — MARK M PETERS M.A.
Practice Location Address:

900 BRYAN ST , SUITE 5
HUNTINGDON, PA
16652-2413

Practice Phone: 814-643-6300
Practice Fax: 814-643-8776

1124130596 — MARTHA A JESSELL
Practice Location Address:

900 BRYAN ST , SUITE 5
HUNTINGDON, PA
16652-2413

Practice Phone: 814-643-6300
Practice Fax: 814-643-8776

Directions to “INTEGRATED BEHAVIORAL HEALTHCARE MANAGEMENT SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.