| Susquehanna Valley Professional Associates, Inc | |
|
320 Rolling Ridge Dr Suite 100 State College PA 16801-7641 | |
| (814) 867-0670 | |
| (814) 867-7616 |
| Full Name | Susquehanna Valley Professional Associates, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 320 Rolling Ridge Dr, State College, Pennsylvania |
| Authorized Official Name and Position | Timothy Hans Derstine (MANAGING DIRECTOR) |
| Authorized Official Contact | 8148679755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Valley Professional Associates, Inc 320 Rolling Ridge Dr Suite 100 State College PA 16801-7641 Ph: (814) 867-0670 | Susquehanna Valley Professional Associates, Inc 320 Rolling Ridge Dr Suite 100 State College PA 16801-7641 Ph: (814) 867-0670 |
| NPI Number | 1578543054 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 04/15/2015 |
| Medicare PECOS PAC ID | 5395648745 |
|---|---|
| Medicare Enrollment ID | O20040202000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578543054 | NPI | - | NPPES |
| 02892000 | Other | PA | CAPITAL BLUE CROSS |
| Provider Name | Cara Bennett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679646327 PECOS PAC ID: 8527950575 Enrollment ID: I20040325001465 |
| Provider Name | Elaine Piccioni Higdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811927684 PECOS PAC ID: 5597724757 Enrollment ID: I20041005000403 |
| Provider Name | Craig S Feaster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912905795 PECOS PAC ID: 4587780929 Enrollment ID: I20100923000265 |
| Provider Name | Michael J Cawley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033134259 PECOS PAC ID: 9133381395 Enrollment ID: I20120504000025 |
| Provider Name | Dennis J Dombrowski |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1528261328 PECOS PAC ID: 4385809813 Enrollment ID: I20120706000195 |
| Provider Name | Ruth E Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295138899 PECOS PAC ID: 5395068977 Enrollment ID: I20150107000698 |
| Provider Name | Sumi Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366825325 PECOS PAC ID: 5698080794 Enrollment ID: I20150819006838 |
| Provider Name | David S Helsel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669463840 PECOS PAC ID: 2961428404 Enrollment ID: I20151016000185 |
| Provider Name | Natalie C Schwer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417472846 PECOS PAC ID: 8022377688 Enrollment ID: I20180108000075 |
| Provider Name | Jami a Pavlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265770010 PECOS PAC ID: 9830334945 Enrollment ID: I20220720003972 |
| Provider Name | Rose Mary Catchmark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275032559 PECOS PAC ID: 7618327297 Enrollment ID: I20240402000750 |
| Provider Name | Mariya Tankimovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386937514 PECOS PAC ID: 3375715055 Enrollment ID: I20240514001710 |
| Provider Name | Victoria Stout |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477524700 PECOS PAC ID: 6103369020 Enrollment ID: I20240620001870 |
| Provider Name | Annasthasia Wrye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023883030 PECOS PAC ID: 0648706515 Enrollment ID: I20241216002542 |
Gracanne Pearl Dreibelbis-drapcho Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Rolling Ridge Dr, Suite 100, State College, PA 16801 Phone: 814-860-0670 Fax: 814-867-7616 |
One Step at a Time Therapy LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 119 S Burrowes St Ste 706, State College, PA 16801 Phone: 814-753-1071 Fax: 877-775-2413 |
Van Gent Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Kenley Ct, State College, PA 16803 Phone: 724-372-5673 |
Oasis Lifecare LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1520 Martin St, State College, PA 16803 Phone: 814-883-9949 |
Taking Flight Developmental Center, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1981 Cato Ave, Suite 2, State College, PA 16801 Phone: 814-954-4187 Fax: 814-954-4197 |
Healing Room Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2023 Cato Ave, Suite 101, State College, PA 16801 Phone: 814-599-4124 |