OrganizationActive
Geisinger Clinic
NPI 1700683661 · Addiction Medicine (Psychiatry & Neurology) Physician · Waverly, PA
Provider details
- NPI number
- 1700683661
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cindy Mull, System Director Credentialing(570) 271-6603
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
12 Lily Lake Road
Waverly, PA 18471-7736
Phone: (570) 563-1112
Fax: (570) 563-1138
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-27
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.