1780689075 NPI number — MARY ANN CRABTREE PSYCHOLOGIST

Table of content: DR. KEVIN J FOLEY MD (NPI 1720078801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780689075 NPI number — MARY ANN CRABTREE PSYCHOLOGIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CRABTREE
Provider First Name:
MARY ANN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PSYCHOLOGIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780689075
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1374
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC MURRAY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15317-4374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-941-1120
Provider Business Mailing Address Fax Number:
724-941-0993

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4150 WASHINGTON RD
Provider Second Line Business Practice Location Address:
STE 105
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-2534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-941-1120
Provider Business Practice Location Address Fax Number:
724-941-0993
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS-006756-L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CR513021 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 123462 . This is a "VALUEOPTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 940015 . This is a "UBH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1036436 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0001034873 . This is a "MHN VENDOR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30001034873 . This is a "MHN VENDOR #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 31586 . This is a "INTERGROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 39468 . This is a "OHS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 80161 . This is a "TRICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01678996 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 163881 . This is a "VBH VENDOR #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 110061 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5564730 . This is a "AETNA NON HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2058984 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: IP03448 . This is a "MAGELLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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