| Brian Garrett Rockower, MD | |
| 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 | |
| (814) 867-0670 | |
| (814) 867-7616 | 
| Full Name | Brian Garrett Rockower | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry | 
| Location | 320 Rolling Ridge Dr, State College, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225062508 | NPI | - | NPPES | 
| 1017008480001 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD428760 (Pennsylvania) | Primary | 
| Entity Name | Susquehanna Valley Professional Associates, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578543054 PECOS PAC ID: 5395648745 Enrollment ID: O20040202000020 | 
| Entity Name | Nulton Diagnostic &treatment Center, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665 | 
| Entity Name | Cen Clear Child Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1841289733 PECOS PAC ID: 9436258860 Enrollment ID: O20070625000752 | 
| Entity Name | Upmc Behavioral Health Of The Alleghenies | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063587103 PECOS PAC ID: 6103733068 Enrollment ID: O20110110000792 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brian Garrett Rockower, MD 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 Ph: (814) 867-0670 | Brian Garrett Rockower, MD 320 Rolling Ridge Dr, Suite 100, State College, PA 16801-7641 Ph: (814) 867-0670 | 
| Dr. Anthony Storm Junod, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 | |
| Dr. Sreedevi Komarneni, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2214 N Atherton St, Suite 5, State College, PA 16803 Phone: 814-237-0567 Fax: 814-237-0569 | |
| Dr. Candace R Good, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 320 Rolling Ridge Dr Ste 203, State College, PA 16801 Phone: 814-682-3880 Fax: 814-682-3881 | |
| E. P. Roy Iii, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803 Phone: 814-231-6868 Fax: 814-231-1581 | |
| Dr. Khytam Dawood, PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1993 Cato Ave, State College, PA 16801 Phone: 814-231-8820 Fax: 814-231-8857 | |
| Dr. Mukundam Nmi Veerabathini, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3500 E College Ave, Suite 1200, State College, PA 16801 Phone: 814-355-6782 Fax: 814-355-6985 |