COLONIAL INTERMEDIATE UNIT 20 (NPI# 1356463657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356463657 |
| Entity Type | Organization |
| Organization Name | COLONIAL INTERMEDIATE UNIT 20 |
| Practice Address |
114 W Morton St Bethlehem PA 18015-1636 |
| Mailing Address |
6 Danforth Rd Easton PA 18045-7899 |
| Practice Telephone | 6105156477 |
| Mailing Telephone | 6102525550 |
| Mailing Fax Number | 6105156524 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | DR. CHARLENE M BRENNAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6105156403 |
| Authorized Official Credential | D. ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
235100 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100754460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953145 | Colonial Intermediate Unit 20 | Clinic/Center | 539 School Rd, Nazareth, PA 18064-9309 | 2019-07-08 |
| 1710548912 | Colonial Intermediate Unit 20 | Clinic/Center | 800 Memorial Blvd, Tobyhanna, PA 18466-7789 | 2019-06-27 |
| 1790346906 | Colonial Intermediate Unit 20 | Clinic/Center | 381 Washington Blvd, Bangor, PA 18013-2745 | 2019-06-27 |
| 1497273791 | Colonial Intermediate Unit 20 | Clinic/Center | 1002 West Union Blvd, Bethlehem, PA 18018-3509 | 2017-09-07 |
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1063636132 | Colonial Intermediate Unit 20 | Clinic/Center | 476 Polk Township Rd, Pleasant Valley Elementary School, Kunkletown, PA 18058-7731 | 2007-04-12 |
| 1023232972 | Colonial Intermediate Unit 20 | Clinic/Center | 231 Pocono Mt School Rd, Swiftwater, PA 18370-0200 | 2007-04-12 |
| 1609099837 | Colonial Intermediate Unit 20 | Community/Behavioral Health | 6 Danforth Dr, Easton, PA 18045-7899 | 2007-04-10 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1982827119 | Colonial Intermediate Unit 20 | Clinic/Center | 125 Center Court, Swiftwater, PA 18370 | 2007-04-10 |
| Street Address |
114 W MORTON ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273791 | Colonial Intermediate Unit 20 | Clinic/Center | 1002 West Union Blvd, Bethlehem, PA 18018-3509 | 2017-09-07 |
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| 1285756411 | Colonial Intermediate Unit 20 | Clinic/Center | 1110 Fernwood St, Bethlehem, PA 18018-3016 | 2007-04-06 |
| 1811032501 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-20 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1669594966 | Colonial Intermediate Unit 20 | Clinic/Center | 3149 Chester Ave, Bethlehem, PA 18020-2866 | 2007-04-06 |
| 1326173360 | Kidspeace Childrens Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-22 |
| Find all providers in BETHLEHEM | ||||
Please comment or provide details below to improve the information on COLONIAL INTERMEDIATE UNIT 20.
| 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.