1972696888 NPI number — MRS. TRISHA JO DERRINGER L.P.C., N.C.C.

Table of content: MRS. TRISHA JO DERRINGER L.P.C., N.C.C. (NPI 1972696888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972696888 NPI number — MRS. TRISHA JO DERRINGER L.P.C., N.C.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DERRINGER
Provider First Name:
TRISHA
Provider Middle Name:
JO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.P.C., N.C.C.
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:
1972696888
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/30/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 171
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DARLINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16115-0171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-827-8497
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2322 10TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAVER FALLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15010-3725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-396-1510
Provider Business Practice Location Address Fax Number:
724-972-4627
Provider Enumeration Date:
10/02/2006

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: 101YP2500X , with the licence number:  PC004230 , 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: 600019111 . This is a "MAGELLAN BEHAVIORAL HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2981854 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 9506922 . This is a "MULTIPLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 251830792 . This is a "INTERGROUP SERVICES CORPORATION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 00000020334 . This is a "UNISON HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000387546 . This is a "PACIFICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1908665 . This is a "HIGHMARK BLUE CROSS BLUE SHEILD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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