STILL WATERS MENTAL HEALTH SERVICES LLC NPI 1659991594

NPI Information

NPI: 1659991594
Provider Name: STILL WATERS MENTAL HEALTH SERVICES, LLC

Doing Business As: STILL WATERS FAMILY HEALTH SERVICES

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
216 N 2ND ST STE 5
CLEARFIELD, PA
ZIP 16830
Phone: (814) 205-4025
Get Directions

STILL WATERS MENTAL HEALTH SERVICES, LLC is a multi-specialty clinic center in Clearfield, PA. STILL WATERS MENTAL HEALTH SERVICES, LLC NPI is 1659991594. The provider is registered as an organization entity type.
The provider Is Doing Business As Still Waters Family Health Services.

The provider's business location address is:

216 N 2ND ST STE 5
CLEARFIELD, PA
ZIP 16830-547
Phone: (814) 205-4025

The provider's authorized official is Bradley J. Shaw .
The authorized official title is Owner and has the following contact phone number (814) 205-4025.

The CLIA number assigned to this NPI record is 39D2223100 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2020 and was last updated on 4/5/2021.

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	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	Yes
2	363LF0000X	Nurse Practitioner	Family	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

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	103371103	MEDICAID	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »