Provider Demographics
NPI:1790870533
Name:ACORN HEALTH ASSOC PC
Entity Type:Organization
Organization Name:ACORN HEALTH ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-545-1938
Mailing Address - Street 1:PO BOX 60747
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17106
Mailing Address - Country:US
Mailing Address - Phone:717-545-1938
Mailing Address - Fax:717-545-1948
Practice Address - Street 1:4410 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112
Practice Address - Country:US
Practice Address - Phone:717-545-1938
Practice Address - Fax:717-545-1948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003606L103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAC1425050OtherBLUE SHIELD
PA0013914180004Medicaid
PA02306500OtherBLUE CROSS
R07086Medicare UPIN
PA0013914180004Medicaid