| Centre Psychology Group | |
|
1993 Cato Ave State College PA 16801-2754 | |
| (814) 231-8820 | |
| (814) 231-8857 |
| Full Name | Centre Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 1993 Cato Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Frances Joann Krick (OFFICE MANAGER) |
| Authorized Official Contact | 8142318820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Psychology Group 1993 Cato Ave State College PA 16801-2754 Ph: (814) 231-8820 | Centre Psychology Group 1993 Cato Ave State College PA 16801-2754 Ph: (814) 231-8820 |
| NPI Number | 1942279922 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082652698 |
|---|---|
| Medicare Enrollment ID | O20050422000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942279922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy C Van Saun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457350969 PECOS PAC ID: 3173417193 Enrollment ID: I20040211000346 |
| Provider Name | Michael M Keil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629041181 PECOS PAC ID: 5597784322 Enrollment ID: I20051122000104 |
| Provider Name | Connie Gay Powell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083716559 PECOS PAC ID: 4587666490 Enrollment ID: I20070206000396 |
| Provider Name | Khytam Dawood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235257577 PECOS PAC ID: 2264471887 Enrollment ID: I20071213000010 |
| Provider Name | Alissa S Yamasaki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780860767 PECOS PAC ID: 7618053208 Enrollment ID: I20080324000293 |
| Provider Name | Leta F Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730153339 PECOS PAC ID: 9133306848 Enrollment ID: I20111018000076 |
| Provider Name | Seta Toroyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992100341 PECOS PAC ID: 1759717093 Enrollment ID: I20200205002579 |
| Provider Name | Diljot Singh Sachdeva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578051975 PECOS PAC ID: 5890112221 Enrollment ID: I20200901000126 |
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