NORTHEAST COUNSELING SERVICE NPI 1003418757

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Hazle Township, PA

NPI 1003418757 Organization Psychiatry & Neurology Child & Adolescent Psychiatry

About NORTHEAST COUNSELING SERVICE

Northeast Counseling Service is a provider established in Hazle Township, Pennsylvania specializing in psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Northeast Counseling Service is 1003418757 and was assigned on November 2020. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated one year ago. Northeast Counseling Service operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Rich Zabinski (Mis Director)

NPI

1003418757

Provider NameNORTHEAST COUNSELING SERVICE
Provider Location Address1451 W 23RD ST HAZLE TOWNSHIP, PA 18202
Provider Mailing Address750 E BROAD ST HAZLETON, PA 18201
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-09-2020
Last Update Date11-09-2020


Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

NORTHEAST COUNSELING SERVICE
1451 W 23RD ST
HAZLE TOWNSHIP, PA
ZIP 18202
Phone: (570) 455-6385

Get Directions


Mailing Address

NORTHEAST COUNSELING SERVICE
750 E BROAD ST
HAZLETON, PA
ZIP 18201
Phone: (570) 455-6385



Authorized Official

Authorized Official Name RICH ZABINSKI
Authorized Official TitleMIS DIRECTOR
Authorized Official Phone(570) 455-6385

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
229800MEDICAID (05)PA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.