NORTH PENN COMPREHENSIVE HEALTH SERVICES (NPI# 1346461381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346461381 |
| Entity Type | Organization |
| Organization Name | NORTH PENN COMPREHENSIVE HEALTH SERVICES |
| Other Organization Name | LAUREL BEHAVIORAL HEALTH OUTPATIENT |
| Practice Address |
105 West Ave Wellsboro PA 16901-1358 |
| Mailing Address |
7 Water St Wellsboro PA 16901-1126 |
| Practice Telephone | 5707230620 |
| Practice Fax Number | 5707240675 |
| Mailing Telephone | 5707230620 |
| Mailing Fax Number | 5707240675 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | RONALD MERYL GILBERT (CFO) |
| Authorized Official Telephone | 5706621955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Laurel Behavioral Health Outpatient | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255529921 | North Penn Comprehensive Health Services | Community Based Residential Treatment Facility, Mental Illness | 651 Saint Michaels Rd, Cogan Station, PA 17728-7706 | 2007-10-09 |
| 1154403038 | North Penn Comprehensive Health Services | Clinic/Center | 6 Riverside Plz, Blossburg Laurel Health Center, Blossburg, PA 16912-1137 | 2006-10-19 |
| 1003913955 | North Penn Comprehensive Health Services | Clinic/Center | 103 Forestview Ave, Elkland, PA 16920-1403 | 2006-09-20 |
| 1346346707 | North Penn Comprehensive Health Services | Home Health | 24 Walnut St, Wellsboro, PA 16901-1526 | 2006-09-15 |
| 1801453980 | North Penn Comprehensive Health Services | Pediatrics | 1b Main St, Wellsboro, PA 16901-1601 | 2019-05-23 |
| 1609433036 | North Penn Comprehensive Health Services | Chiropractor | 40 W Wellsboro St, Mansfield, PA 16933-1411 | 2019-05-21 |
| 1376923896 | North Penn Comprehensive Health Services | Clinic/Center | 114 East Ave, Wellsboro, PA 16901-1737 | 2015-06-01 |
| 1235570417 | North Penn Comprehensive Health Services | Clinic/Center | 7 Water St, Wellsboro Laurel Health Center, Wellsboro, PA 16901-1126 | 2013-07-16 |
| 1083889042 | North Penn Comprehensive Health Services | Clinic/Center | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2008-04-29 |
| 1790974822 | North Penn Comprehensive Health Services | Counselor | 520 Ruah Street, Blossburg, PA 16912 | 2007-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTH PENN COMPREHENSIVE HEALTH SERVICES | 40 W Wellsboro St, Mansfield, PA 16933-1411 |
| Street Address |
105 WEST AVE |
| City | WELLSBORO |
| State | PA |
| Zip Code | 16901-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699731711 | Gerald H Cerrone | Psychologist | 105 West Ave, Wellsboro, PA 16901-1358 | 2006-04-26 |
| 1255497608 | Edward L Sholonski | Psychologist | 105 West Ave, Wellsboro, PA 16901-1358 | 2006-12-29 |
| 1063588457 | William Douglas Chancellor | Social Worker | 105 West Ave, Wellsboro, PA 16901-1358 | 2006-11-28 |
| 1316972573 | Lucinda H Luckenbill | Counselor | 105 West Ave, Wellsboro, PA 16901-1358 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964940 | Alyssa Lapp | Occupational Therapist | 32 Central Avenue, Wellsboro, PA 16901 | 2019-07-19 |
| 1437701190 | Kari Donnele Root | Occupational Therapist | 36 Central Avenue, Wellsboro, PA 16901 | 2019-07-12 |
| 1205377835 | Brett Long | Physical Therapy Assistant | 37 Central Avenue, Wellsboro, PA 16901 | 2017-03-15 |
| 1487072526 | Mary Caitlin Jones | Physical Therapist | 100 Plaza Ln, Wellsboro, PA 16901 | 2014-04-05 |
| 1144650607 | Amy Chalot | Occupational Therapy Assistant | 1883 Shumway Hill Road, Broad Acres Health and Rehabilitation Center, Wellsboro, PA 16901 | 2013-11-20 |
| 1780844209 | Upmc Wellsboro | Pathology | 32 36 Central Avenue, Pathology, Wellsboro, PA 16901 | 2008-06-10 |
| 1639369606 | Well Adjusted Chiropractic Center PC | Chiropractor | 82 East Avenue, Wellsboro, PA 16901 | 2007-07-26 |
| 1538362991 | John W Eaton | Dentist | 23 Water Street, Wellsboro, PA 16901 | 2007-06-06 |
| 1437210242 | James Michael Stewart | Technician/Technologist | 16 Pearl St, Wellsboro, PA 16901 | 2006-12-13 |
| 1508879560 | Edward Jeffrey Candela | Dentist | 16 Water St, Wellsboro, PA 16901 | 2006-08-14 |
| Find all providers in zip 16901 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538020 | Haven of Tioga County | Clinic/Center | 48 East Ave, Wellsboro, PA 16901-1714 | 2019-09-27 |
| 1417455510 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 32 Meade St, Wellsboro, PA 16901-1843 | 2018-01-24 |
| 1205334307 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 9 Nichols St, Wellsboro, PA 16901-1122 | 2018-01-24 |
| 1215279823 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 1768 Shumway Hill Rd, Wellsboro, PA 16901-6838 | 2013-03-21 |
| 1215435318 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 10 Sherman St, Wellsboro, PA 16901-1829 | 2018-01-24 |
| 1619412327 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 225 Nichols St, Wellsboro, PA 16901-1144 | 2017-01-04 |
| 1063865186 | Mary Catherine Clark | Clinic/Center | 62 Plaza Ln, Wellsboro, PA 16901-1766 | 2016-07-14 |
| 1578829255 | Concern Professional Services for Children, Youth, & Families | Clinic/Center | 1873 Shumway Hill Rd, Wellsboro, PA 16901-6840 | 2012-04-06 |
| 1083889042 | North Penn Comprehensive Health Services | Clinic/Center | 32-36 Central Ave, Wellsboro, PA 16901-1840 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
| 1356949663 | Christina Robidoux, Lpc | Clinic/Center | 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 | 2020-10-09 |
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1629683693 | Sunshine Counseling, LLC | Clinic/Center | 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 | 2020-09-15 |
| 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 | ||||
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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.