Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Susquehanna Valley Professional Associates, Inc

Psychiatry Physician in State College, PA · enumerated 2006 · authorized official Timothy Derstine, Managing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578543054

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Registry record

Entity type Organization (Type 2)

Legal business name Susquehanna Valley Professional Associates, Inc

Practice address 320 Rolling Ridge Dr, Suite 100, State College, PA, 16801

Phone (814) 867-0670

Fax (814) 867-7616

Enumeration date Jan 19, 2006

Last updated in NPPES Apr 15, 2015

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Timothy Derstine

Title Managing Director

Phone (814) 867-9755

Other identifiers

Identifier	Type	State	Issuer
02892000	Other	PA	CAPITAL BLUE CROSS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Susquehanna Valley Professional Associates, Inc?

The NPI for Susquehanna Valley Professional Associates, Inc is 1578543054, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Susquehanna Valley Professional Associates, Inc?

NPPES lists Timothy Derstine (Managing Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-15.