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Organization

COMMONWEALTH AFFILIATED SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER J CADIEUX M.D. (PRESIDENT)
(717) 540-5353
Entity
Organization

Contact information

Practice address
2215 FOREST HILLS DR, SUITE 38, HARRISBURG, PA 17112-1099
(717) 540-5353
(717) 540-5151
Mailing address
2215 FOREST HILLS DR, SUITE 38, HARRISBURG, PA 17112-1099
(717) 540-5353
(717) 540-5151

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC000112
PA
103T00000X
Psychologist
PS005345L
PA
103T00000X
Psychologist
PS007421L
PA
103TC0700X
Clinical Psychologist
PS003544L
PA
1041C0700X
Clinical Social Worker
CW001341L
PA
1041C0700X
Clinical Social Worker
CW003986L
PA
2084N0400X
Neurology Physician
Primary
MD020877E
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD039464E
PA
2084P0805X
Geriatric Psychiatry Physician
MD039381E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1823814
HIGHMARK BLUE SHIELD
PA
01
1823824
HIGHMARK BLUE SHIELD
PA
01
50046968
CAPITAL BLUE CROSS
PA
Enumeration date
10/09/2006
Last updated
09/11/2025
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