PENNSYLVANIA STATE UNIVERSITY NPI 1184992554

NPI Information

  • NPI: 1184992554
  • Provider Name: PENNSYLVANIA STATE UNIVERSITY
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Address: 110 FORD BLDG
    THE PENNSYLVANIA STATE UNIVERSITY
    UNIVERSITY PARK, PA
    ZIP 16802
  • Phone: (814) 865-5414

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NPI Details

PENNSYLVANIA STATE UNIVERSITY is a point of service in University Park, PA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PENNSYLVANIA STATE UNIVERSITY NPI is 1184992554. The provider is registered as an organization entity type.

The provider's business location address is:

110 FORD BLDG
THE PENNSYLVANIA STATE UNIVERSITY
UNIVERSITY PARK, PA
ZIP 16802-000
Phone: (814) 865-5414

The provider's authorized official is Nimisha Muttiah .
The authorized official title is Speech Language Pathologist and has the following contact phone number (419) 575-8034.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

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
1305S00000XPoint of ServiceSL010567PENNSYLVANIAYes

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: 11/21/2025

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