GEISINGER CLINIC NPI 1639600075

NPI Information

  • NPI: 1639600075
  • Provider Name: GEISINGER CLINIC
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2407 REICHARD ROAD
    BLOOMSBURG, PA
    ZIP 17815
  • Phone: (570) 784-8303

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NPI Details

GEISINGER CLINIC is an addiction (substance use disorder) psychologist in Bloomsburg, PA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. GEISINGER CLINIC NPI is 1639600075. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2407 REICHARD ROAD
BLOOMSBURG, PA
ZIP 17815-001
Phone: (570) 784-8303
Fax: (570) 387-5030

The provider's authorized official is Cindy Mull .
The authorized official title is Director and has the following contact phone number (570) 271-6144.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 4/20/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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