Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centre Professional Associates LLC

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1689025389

Centre Professional Associates LLC is an Addiction Medicine (Psychiatry & Neurology) Physician in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

315 S Allen St Ste 216
State College, PA 16801-4849
Phone: (814) 689-9744
Fax: (888) 981-8069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD056013L (PA)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence MD056013L (PA)

Record details

NPI number1689025389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Derstine — Owner · (814) 689-9744
NPI enumeratedJune 24, 2016
Last updated in NPPESJune 24, 2016
Mailing addressPo Box 1120, Lemont, PA 16851-1120

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