WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1235365131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235365131 |
| Entity Type | Organization |
| Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| Other Organization Name | COMMUNITY COUNSELING SERVICE OF NEPA |
| Practice Address |
176 N Main St Shavertown PA 18708-1121 |
| Mailing Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Practice Telephone | 5702552082 |
| Practice Fax Number | 5706748912 |
| Mailing Telephone | 5705523700 |
| Mailing Fax Number | 5705523733 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
222490 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022885770011 | 05 |
| Other Name | Type Code |
|---|---|
| Community Counseling Service of NEPA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093070583 | Wilkes Barre Behavioral Hospital Company LLC | Community Based Residential Treatment Facility, Mental Illness | 76 S Dawes Ave, Kingston, PA 18704-5710 | 2012-07-10 |
| 1649535139 | Wilkes Barre Behavioral Hospital Company LLC | Community Based Residential Treatment Facility, Mental Illness | 3504 Bear Creek Blvd, Bear Creek Township, PA 18702-9760 | 2012-07-10 |
| 1073842936 | Wilkes Barre Behavioral Hospital Company LLC | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-12-23 |
| 1982835484 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-07-31 |
| 1669608477 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2009-06-08 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1477789287 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1386870194 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| 1376779181 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| 1568698371 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| Street Address |
176 N MAIN ST |
| City | SHAVERTOWN |
| State | PA |
| Zip Code | 18708-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003857186 | Patrick Kilduff | Internal Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-09 |
| 1275176026 | Arianna Catherine Roberts | Nurse Practitioner | 176 N Main St, Shavertown, PA 18708-1121 | 2019-10-24 |
| 1518321082 | Nehal Mohammed Aleemuddin | Family Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2016-04-11 |
| 1366822504 | Devin Carey | Family Medicine | 176 N Main St, Shavertown, PA 18708 | 2015-06-03 |
| 1386809283 | Michael Vito Brown | Family Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2008-07-21 |
| 1821001090 | John L Carey | Internal Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-08-15 |
| 1669485918 | Krishnakant A Patel | Family Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-08-15 |
| 1942237961 | Alan Boonin | Family Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-26 |
| 1982647756 | Gary Nothstein | Family Medicine | 176 N Main St, Shavertown, PA 18708-1121 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871076901 | Samantha Jo Lupinski-campbell | Massage Therapist | 52 S Memorial Highway, Shavertown, PA 18708 | 2018-09-14 |
| 1578939336 | Courtney Burgess-michak | Counselor | 1846 Memorial Highway, Suite 3, Shavertown, PA 18708 | 2015-08-17 |
| 1043620727 | Amy Cook | Recreation Therapist | 1207 Huntsville Road, Shavertown, PA 18708 | 2014-05-02 |
| 1437416849 | Richard G Coslett | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1902197635 | Vera Lynn Supey | Pharmacist | 2810 Memorial Hwy, Shavertown, PA 18708 | 2011-04-28 |
| 1912200288 | Aphrodite J Togias | Family Medicine | 140 Blueberry Road, Shavertown, PA 18708 | 2010-12-08 |
| 1811075104 | Charles T Brand Dmd Richard G Coslett Dmd PC | Dentist | 121 S Memorial Hwy, Shavertown, PA 18708 | 2006-11-02 |
| 1356608764 | Charles T Brand | Dentist | 121 S. Memorial Hwy, Shavertown, PA 18708 | 2012-04-23 |
| 1861485971 | Homebound Health Services Inc | Home Health | 145 N Main St, Shavertown, PA 18708-1122 | 2005-08-24 |
| 1306976790 | Dale Arthur Wilkie | Dentist | 164 N Memorial Hwy, Shavertown, PA 18708-1125 | 2007-03-06 |
| Find all providers in zip 18708 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1023623956 | Sunshine Healing & Counseling | Clinic/Center | 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 | 2020-09-08 |
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | SHAVERTOWN |
| Zip Code | 18708 |
Please comment or provide details below to improve the information on WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC.
| 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.