Healthcare Provider Details

I. General information

NPI: 1063386522
Provider Name (Legal Business Name): FIRST HOSPITAL PSY OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 WYOMING AVE # A
KINGSTON PA
18704-3721
US

IV. Provider business mailing address

562 WYOMING AVE # A
KINGSTON PA
18704-3721
US

V. Phone/Fax

Practice location:
  • Phone: 570-552-3760
  • Fax: 272-467-7508
Mailing address:
  • Phone: 570-552-3760
  • Fax: 272-467-7508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: JANET STOCHLA
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 570-552-3760