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ERICKSON PSYCHOLOGICAL SERVICES LLC
NPI 1679963193
Psychologist - Clinical in State College, PA

Active since February 04, 2015
315 S ALLEN ST, SUITE 421, STATE COLLEGE, PA 16801(814) 466-2133 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erickson Psychological Services Llc NPPES

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

ERICKSON PSYCHOLOGICAL SERVICES LLC (NPI 1679963193) is a healthcare organization registered as a clinical in State College, Pennsylvania and active in the NPI registry since February 2015. The organization lists John Raymond Erickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679963193
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameERICKSON PSYCHOLOGICAL SERVICES LLC
Location Address315 S ALLEN ST, SUITE 421State College, PA 16801-4849
Mailing Address315 S Allen St, Suite 421State College, PA 16801-4849 · (814) 466-2133
Phone(814) 466-2133
Organization SubpartNo
Authorized OfficialJohn Raymond EricksonOwner · (814) 466-2133
Enumeration DateFebruary 4, 2015
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1679963193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS007918L
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
315 S ALLEN ST, State College, PA 16801
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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)

Erickson Psychological 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 Erickson Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Erickson, PH.D.
Clinical Psychologist
NPI 1366434466
315 S ALLEN ST SUITE 421
State College, PA 16801
(814) 466-2133
✔ PECOS✔ Accepts MedicareSame address

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 Erickson Psychological Services LLC's NPI number?

The NPI number for Erickson Psychological Services LLC is 1679963193. It was assigned to this organization in the NPPES registry on February 4, 2015.

Where is Erickson Psychological Services LLC located?

Erickson Psychological Services LLC is located at 315 S Allen St Suite 421, State College, PA 16801. The listed phone number is (814) 466-2133.

What is Erickson Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Erickson Psychological Services LLC enrolled in Medicare?

Yes. Erickson Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erickson Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Erickson Psychological 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 Erickson Psychological Services LLC was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.