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General NPI Number Information
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NPI Number | 1164441382
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Entity Type | Organization
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Legal Business Name | BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 1800 N 12TH ST
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City | READING
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State | PA
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Zip | 19604-1545
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Country | US
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Telephone | 610-816-5728
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 W END AVE STE 1000
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City | NASHVILLE
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State | TN
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Zip | 37203-1324
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Country | US
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Telephone | 615-393-8887
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Fax |
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Authorized Official
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Title or Position | VP/TREASURER
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Name | JANIE PICKLE
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Credential |
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Telephone | 615-393-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP010562
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | RN193502L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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