| LCA CASE NUMBER | I-200-23080-865126 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-21 |
| DECISION DATE | 2023-03-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Child Psychiatrist |
| SOC CODE | 29-1223.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Penn State Milton S. Hershey Medical Center |
| EMPLOYER ADDRESS1 | 500 University Drive |
| EMPLOYER CITY | Hershey |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17175857920 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mastrella |
| EMPLOYER POC FIRST NAME | Shelley |
| EMPLOYER POC JOB TITLE | Senior Director, Employee Services |
| EMPLOYER POC ADDRESS1 | 100 Crystal A Drive, P.O. Box 804 |
| EMPLOYER POC ADDRESS2 | Mail Code CA230 |
| EMPLOYER POC CITY | Hershey |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17175857920 |
| EMPLOYER POC EMAIL | smastrella@pennstatehealth.psu.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pollins |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 630 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600 |
| AGENT ATTORNEY EMAIL ADDRESS | karen@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum, Pollins & Dennis, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Pennsylvania Psychiatric Institute |
| WORKSITE ADDRESS1 | 2501 North 3rd Street |
| LCA CASE WORKLOC1 CITY | Harrisburg |
| WORKSITE COUNTY | DAUPHIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17110 |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 57574 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
