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NPI Code Detail

MEDICARE: NEW DIRECTIONS MENTAL HEALTH, PC

MEDICARE: NEW DIRECTIONS MENTAL HEALTH, PC
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
1103TC0700XClinical Psychologist
21041C0700XClinical Social Worker
32084P0800XPsychiatry Physician
4364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)416630PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215904800
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DIRECTIONS MENTAL HEALTH, PC
Provider Business Mailing Address
First Line : 110 HIDDEN VALLEY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2685
Country : US
Telephone Number : 724-941-4070
Fax Number : 724-941-5083
Provider Business Practice Location Address
First Line : 110 HIDDEN VALLEY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2685
Country : US
Telephone Number : 724-941-4070
Fax Number : 724-941-5083
Authorized Official
Title or Position : CREDENTIAL SUPERVISOR
Name : MELINDA DECKER
Credential :
Telephone Number : 724-941-4070
Provider Enumeration Date : 03/02/2006
Last Update Date : 12/15/2022

Similar Medicare Providers

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Practice Location Address:
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1467787499 — LESLIE JOHNSTON MSW
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Directions to “NEW DIRECTIONS MENTAL HEALTH, PC ” Practice Location

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