| Mount Nittany Medical Center | |
|
155 Wellness Way State College PA 16803-6797 | |
| (814) 231-7000 | |
| Not Available |
| Full Name | Mount Nittany Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 155 Wellness Way, State College, Pennsylvania |
| Authorized Official Name and Position | Bryan Roach (CFO) |
| Authorized Official Contact | 8142346148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Nittany Medical Center 155 Wellness Way State College PA 16803-6797 Ph: (814) 231-7000 | Mount Nittany Medical Center 155 Wellness Way State College PA 16803-6797 Ph: (814) 231-7000 |
| NPI Number | 1710958251 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/04/2025 |
| Medicare PECOS PAC ID | 2365353364 |
|---|---|
| Medicare Enrollment ID | O20031117000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710958251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 39S268 (Pennsylvania) | Primary |
| Provider Name | Candace R Good |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144293770 PECOS PAC ID: 4880666445 Enrollment ID: I20040812000924 |
| Provider Name | Arthur John J Decarle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356349450 PECOS PAC ID: 2567429954 Enrollment ID: I20041217000015 |
| Provider Name | Jeanne A Lumadue |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376525055 PECOS PAC ID: 5991756918 Enrollment ID: I20050208000348 |
| Provider Name | Lynette Turay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861507923 PECOS PAC ID: 2668642398 Enrollment ID: I20120530000299 |
| Provider Name | Dennis J Dombrowski |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1528261328 PECOS PAC ID: 4385809813 Enrollment ID: I20120706000195 |
| Provider Name | Melissa C Stokes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780897249 PECOS PAC ID: 9032303763 Enrollment ID: I20120727000350 |
| Provider Name | Michael I Turk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720198815 PECOS PAC ID: 2567692908 Enrollment ID: I20140304000157 |
| Provider Name | Ruth E Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295138899 PECOS PAC ID: 5395068977 Enrollment ID: I20150107000698 |
| Provider Name | David S Helsel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669463840 PECOS PAC ID: 2961428404 Enrollment ID: I20151016000185 |
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