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NPI Code Detail

MEDICARE: BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, PLLC

MEDICARE: BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, PLLC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse
22084P0800XPsychiatry Physician
3363LP0808XPsychiatric/Mental Health Nurse PractitionerSP010562PA
4101Y00000XCounselorRN193502LPA
5101YP2500XProfessional Counselor
6104100000XSocial Worker
71041C0700XClinical Social Worker
8103T00000XPsychologist

General Provider Information

NPI Number : 1164441382
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERKSHIRE PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES, PLLC
Provider Business Mailing Address
First Line : 3102 W END AVE STE 1000
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1324
Country : US
Telephone Number : 615-393-8887
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N 12TH ST
Second Line :
City : READING
State : PA
Zip : 19604-1545
Country : US
Telephone Number : 610-816-5728
Fax Number :
Authorized Official
Title or Position : VP/TREASURER
Name : JANIE PICKLE
Credential :
Telephone Number : 615-393-8809
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/19/2024

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