Provider Demographics
NPI:1972621241
Name:NEWTON PSYCHIATRIC CLINIC, L.L.C.
Entity Type:Organization
Organization Name:NEWTON PSYCHIATRIC CLINIC, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:O
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-339-1828
Mailing Address - Street 1:129 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:PA
Mailing Address - Zip Code:17851-2175
Mailing Address - Country:US
Mailing Address - Phone:570-339-1828
Mailing Address - Fax:570-554-8701
Practice Address - Street 1:129 E 5TH ST
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:PA
Practice Address - Zip Code:17851-2175
Practice Address - Country:US
Practice Address - Phone:570-339-1828
Practice Address - Fax:570-554-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-064665-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012389820001Medicaid
PANE090803Medicare ID - Type Unspecified
PA1012389820001Medicaid