COMMONWEALTH CLINICAL GROUP, INC. (NPI# 1023267473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023267473 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH CLINICAL GROUP, INC. |
| Practice Address |
41 E Orange St Lancaster PA 17602-2846 |
| Practice Telephone | 7173933900 |
| Practice Fax Number | 7173937900 |
| Mailing Telephone | 7173933900 |
| Mailing Fax Number | 7173937900 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | MS. CATHERINE ANN DEGUIRE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7174135035 |
| Authorized Official Credential | MS, JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022334430003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278509 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 1 E Market St Ste 402, York, PA 17401-1611 | 2019-07-25 |
| 1144465899 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 2444 N 3rd St, Harrisburg, PA 17110-1901 | 2008-12-10 |
| 1437394186 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 1 E Market St Ste 104, York, PA 17401-1618 | 2008-12-10 |
| 1144845231 | Commonwealth Clinical Group, Inc. | Clinic/Center | 450 S 5th St, Reading, PA 19602-2642 | 2020-06-15 |
| 1013530898 | Commonwealth Clinical Group, Inc. | Clinic/Center | 479 Thomas Jones Way Ste 100, Exton, PA 19341-2585 | 2020-05-27 |
| 1215558382 | Commonwealth Clinical Group, Inc. | Clinic/Center | 41 E Orange St, Lancaster, PA 17602-2846 | 2020-04-30 |
| 1750706198 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 479 Thomas Jones Way, Suite 100, Exton, PA 19341-2580 | 2014-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH CLINICAL GROUP, INC. | 41 E Orange St, Lancaster, PA 17602-2846 |
| Street Address |
41 E ORANGE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474246 | Kayla Weiler | Social Worker | 41 E Orange St, Lancaster, PA 17602-2846 | 2020-10-15 |
| 1215558382 | Commonwealth Clinical Group, Inc. | Clinic/Center | 41 E Orange St, Lancaster, PA 17602-2846 | 2020-04-30 |
| 1124592415 | Patricia Stough | Social Worker | 41 E Orange St, Lancaster, PA 17602-2846 | 2019-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211387 | Crescent Behavioral Health, LLC | Community/Behavioral Health | 202 W Park Place Dr, Lancaster, TX 75134-3250 | 2020-10-08 |
| 1962029884 | Catholic Charities of The Diocese of Harrisburg Pa Inc | Community/Behavioral Health | 47 S Mulberry St, Lancaster, PA 17603-3949 | 2020-06-26 |
| 1780223420 | Heatherstone Counseling Services, LLC | Community/Behavioral Health | 313 W Liberty St Ste 228, Lancaster, PA 17603-2748 | 2019-12-28 |
| 1598303638 | The People Concern | Community/Behavioral Health | 45244 32nd St W, Lancaster, CA 93536-8442 | 2019-12-19 |
| 1598242117 | Carolina Human Services LLC | Community/Behavioral Health | 6992 Waxhaw Hwy, Lancaster, SC 29720-7731 | 2018-07-26 |
| 1528553369 | Step of Faith | Community/Behavioral Health | 1413 Prescott Dr, Lancaster, TX 75134 | 2018-06-25 |
| 1669966982 | Star View Behavioral Health, Inc. | Community/Behavioral Health | 1216 W Avenue J Ste 300, Lancaster, CA 93534-2944 | 2018-06-20 |
| 1134622749 | Lake Hughes Recovery O P, Inc. | Community/Behavioral Health | 44965 10th St W, Lancaster, CA 93534-2313 | 2018-03-10 |
| 1750814489 | First Ladies Wellness Enterprise | Community/Behavioral Health | 2207 Beechwood St, Lancaster, CA 93535-1782 | 2017-04-10 |
| 1194263475 | Links of Love Behavioral Services, LLC | Community/Behavioral Health | 313 Moore St, Lancaster, SC 29720-2504 | 2017-02-07 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.