COMMONWEALTH AFFILIATED SERVICES INC NPI 1225125479

NPI Information

NPI: 1225125479
Provider Name: COMMONWEALTH AFFILIATED SERVICES, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2215 FOREST HILLS DR
SUITE 38
HARRISBURG, PA
ZIP 17112
Phone: (717) 540-5353
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COMMONWEALTH AFFILIATED SERVICES, INC is a mental health counselor in Harrisburg, PA. COMMONWEALTH AFFILIATED SERVICES, INC NPI is 1225125479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2215 FOREST HILLS DR
SUITE 38
HARRISBURG, PA
ZIP 17112-099
Phone: (717) 540-5353
Fax: (717) 540-5151

The provider's authorized official is Roger J Cadieux .
The authorized official title is President and has the following contact phone number (717) 540-5353.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PC000112	PENNSYLVANIA	Yes
2	103TC0700X	Psychologist	Clinical	PS003544L	PENNSYLVANIA	X
3	103T00000X	Psychologist		PS007421L	PENNSYLVANIA	X
4	103T00000X	Psychologist		PS005345L	PENNSYLVANIA	X
5	1041C0700X	Social Worker	Clinical	CW001341L	PENNSYLVANIA	X
6	1041C0700X	Social Worker	Clinical	CW003986L	PENNSYLVANIA	X
7	2084N0400X	Psychiatry & Neurology	Neurology	MD020877E	PENNSYLVANIA	X
8	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD039464E	PENNSYLVANIA	X
9	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	MD039381E	PENNSYLVANIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1823814	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	50046968	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
3	1823824	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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