BEAVER PSYCHIATRIC SERVICES, LLC
NPI 1457803843
Nurse Practitioner - Psychiatric/Mental Health in Beaver, PA

Active since November 01, 2016

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2017, Nov 1, 2016 (2 updates tracked since 2016).

About Beaver Psychiatric Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAVER PSYCHIATRIC SERVICES, LLC (NPI 1457803843) is a healthcare organization registered as a psychiatric/mental health in Beaver, Pennsylvania and active in the NPI registry since November 2016. The organization lists Marcy Mccormick, Owner, as its authorized official.

NPPES Registry Identity

NPI1457803843
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBEAVER PSYCHIATRIC SERVICES, LLC
Location Address935 BANK STBeaver, PA 15009-2603
Mailing Address336 College Ave, Suite 102Beaver, PA 15009-2231 · (724) 544-9190
Organization SubpartNo
Authorized OfficialMarcy MccormickOwner · (724) 544-9190
Enumeration DateNovember 1, 2016
Last NPPES UpdateJune 8, 20172 updates tracked since enumeration
✔ NPI 1457803843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP012444
935 BANK ST, Beaver, PA 15009

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaver Psychiatric Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beaver Psychiatric Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831443688
336 COLLEGE AVE STE 102
Beaver, PA 15009
(724) 544-9190
✔ PECOS✔ Accepts Medicare0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaver Psychiatric Services, LLC's NPI number?

The NPI number for Beaver Psychiatric Services, LLC is 1457803843. It was assigned to this organization in the NPPES registry on November 1, 2016.

Where is Beaver Psychiatric Services, LLC located?

Beaver Psychiatric Services, LLC is located at 935 Bank St, Beaver, PA 15009. The listed phone number is (724) 544-9190.

What is Beaver Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Beaver Psychiatric Services, LLC enrolled in Medicare?

Yes. Beaver Psychiatric Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaver Psychiatric Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beaver Psychiatric Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beaver Psychiatric Services, LLC was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.