Susquehanna Valley Professional Associates, Inc
NPI 1578543054 · Psychiatry Physician · State College, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susquehanna Valley Professional Associates, Inc is a Psychiatry Physician organization in State College, PA (NPI 1578543054).
Provider details
- NPI number
- 1578543054
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Derstine, Managing Director(814) 867-9755
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2015-04-15
Frequently asked questions
- What is Susquehanna Valley Professional Associates, Inc's NPI number?
- Susquehanna Valley Professional Associates, Inc's National Provider Identifier (NPI) is 1578543054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susquehanna Valley Professional Associates, Inc?
- Susquehanna Valley Professional Associates, Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Susquehanna Valley Professional Associates, Inc located?
- Susquehanna Valley Professional Associates, Inc's practice location on file with NPPES is 320 Rolling Ridge Dr, State College, PA 16801-7641.
- What is Susquehanna Valley Professional Associates, Inc's phone number?
- The practice phone number listed in the NPPES registry for Susquehanna Valley Professional Associates, Inc is (814) 867-0670.
- Does Susquehanna Valley Professional Associates, Inc accept Medicare?
- Susquehanna Valley Professional Associates, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Susquehanna Valley Professional Associates, Inc?
- The authorized official listed on Susquehanna Valley Professional Associates, Inc's NPPES record is Timothy Derstine, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susquehanna Valley Professional Associates, Inc's NPI active?
- Yes — Susquehanna Valley Professional Associates, Inc's NPI (1578543054) is active in the NPPES registry as of the last update on 2015-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.