EDGEWATER PSYCHIATRIC CENTER (NPI# 1356565576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356565576 |
| Entity Type | Organization |
| Organization Name | EDGEWATER PSYCHIATRIC CENTER |
| Practice Address |
1100 S Cameron St Harrisburg PA 17104-2547 |
| Mailing Address |
1320 Linglestown Rd Harrisburg PA 17110-2822 |
| Practice Telephone | 7174413700 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MATTHEW ZABOLOTNY (CORP DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 7174413700 |
| 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 | 1007457920032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757692 | Edgewater Psychiatric Center | Community/Behavioral Health | 295 State Dr, Elizabethville, PA 17023-8661 | 2007-04-13 |
| 1487878609 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2007-04-11 |
| 1821267543 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2008-02-27 |
| 1376712091 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2213 | 2008-02-27 |
| 1720202948 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2241 | 2007-04-11 |
| Street Address |
1100 S CAMERON ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-2547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902949266 | Cmu | Case Management | 1100 S Cameron St, Suite 1, Harrisburg, PA 17104-2547 | 2007-02-15 |
| 1306216569 | Amy E Dows | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2015-09-30 |
| 1487056644 | Kristen Templin | Social Worker | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2014-09-19 |
| 1205273158 | Erin Lynch | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2013-06-03 |
| 1336490697 | Alyson Cohen | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2012-09-27 |
| 1255601837 | Noella Dowers | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2012-01-12 |
| 1205104544 | Catherine Lattuca | Licensed Practical Nurse | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2011-12-01 |
| 1700178829 | Victoria Cecylia Kowalski | Social Worker | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2011-05-08 |
| 1750688156 | Ashley Karen Armor | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2011-02-21 |
| 1699082263 | Lara Marie Dietrich | Counselor | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| 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 |
|---|---|---|---|---|
| 1073139754 | Holcomb Associates Inc. | Community/Behavioral Health | 160 S Progress Ave Ste 2c, Harrisburg, PA 17109-4636 | 2020-06-18 |
| 1932735883 | Akoma Healing Center, LLC. | Community/Behavioral Health | 2843 N Front St Ste 204, Harrisburg, PA 17110-1268 | 2020-03-22 |
| 1013479211 | Mindful Care Counseling LLC | Community/Behavioral Health | 1007 N Front St Ste 101a, Harrisburg, PA 17102-3320 | 2019-04-05 |
| 1477015964 | Solace Center | Community/Behavioral Health | 8456 Twickenham Ter, Harrisburg, NC 28075-5101 | 2019-04-03 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1851748495 | Hutchison House | Community/Behavioral Health | 4770 The Arbors Dr, Harrisburg, NC 28075-3921 | 2016-05-24 |
| 1013363134 | Diakon Lutheran Social Ministries | Community/Behavioral Health | 2135 N 6th St, Harrisburg, PA 17110-2404 | 2016-05-07 |
| 1497113393 | Keystone Service Systems, Inc | Community/Behavioral Health | 5250 Reynolds Ln, Harrisburg, PA 17111-3239 | 2016-02-05 |
| 1730545203 | Keystone Service Systems, Inc | Community/Behavioral Health | 3105 Hoffer St, Harrisburg, PA 17103-2153 | 2016-01-13 |
| 1306249909 | New Story | Community/Behavioral Health | 6818 Jefferson St, Harrisburg, PA 17111-4444 | 2014-09-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
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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.