# PSYCHOLOGICAL CONSULTANTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205210903
- **Authorized official:** JOAN M. PITINGOLO CICCHIELLO PMHNP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (570) 875-9434

## Contact information

- **Practice address:** 603 W 5TH ST, MOUNT CARMEL, PA 17851-1803
- **Practice address phone:** (570) 875-8058
- **Practice address fax:** (570) 554-4357
- **Mailing address:** 1050 S GEORGE ST, YORK, PA 17403-3638
- **Mailing address phone:** (570) 875-8058
- **Mailing address fax:** (570) 554-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 163WG0000X | General Practice Registered Nurse | TP006931C | PA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | SP009838 | PA | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 08/20/2015