WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC


Address: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301
Phone: 5708230070

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1417183328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417183328
Entity Type Organization
Organization Name WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Practice Address 110 S Pennsylvania Ave
Wilkes Barre
PA 18701-3301
Mailing Address 562 Wyoming Ave
Wilkes Barre
PA 18704-3721
Practice Telephone 5708230070
Practice Fax Number 5708230123
Mailing Telephone 5705523700
Mailing Fax Number 5705523733
Enumeration Date 2009-06-05
Last Update Date 2018-04-11
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
222480 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1022885770010 05

Other Provider IDs and Locations

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

Office Location

Street Address 110 S PENNSYLVANIA AVE
City WILKES BARRE
State PA
Zip Code 18701-3301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821043779 Mary E Mazaleski Physician Assistant 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2006-05-22
1346713716 Kami Leigh Nestler Nurse Practitioner 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2019-01-08
1073082665 Samantha Mary Steinbrenner Nurse Practitioner 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2018-11-13
1194228593 Matthew J Harden Social Worker 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2018-03-12
1700316510 Jerry M Wright Counselor 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2017-06-14
1578005013 Brissa D Rodgers Social Worker 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2016-11-15
1730531393 Jean Schappert Counselor 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2016-07-07
1649647355 Lois Elick Registered Nurse 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2015-08-28
1730586306 Kerry Zellner Marriage & Family Therapist 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2014-11-26
1518363811 Audra Gould Physician Assistant 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2014-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649878836 Moriah M Teed Pharmacist 115 East Northampton St, Wilkes-barre, PA 18701 2020-10-12
1275164055 Paul Thomas Stanziale Social Worker Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 2020-01-30
1790211175 Erik David Robertson Physical Therapist 4011 Green Pond Road, Bethlhem, PA 18701 2017-05-04
1063895431 Jennifer L Schell Nurse Practitioner 60 Public Sq, Wilkes Barre, PA 18701 2015-07-03
1184051617 Vincent L. Carolan Counselor 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 2013-09-30
1538592696 Courtenay Jayne Mcdonough Nurse Practitioner 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 2013-08-13
1043656721 Barbara Lynnette Hoffman Nurse Practitioner 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 2013-05-21
1518232768 Sharon Anita Wander Pediatrics 47 S Washington Street, Wilkes-barre, PA 18701 2012-03-20
1245564780 Judith Ann Schrepfer Occupational Therapist 1 East Street, Bloomsburg, PA 18701 2009-10-01
1841497658 Nancy M Rodgers Counselor 33 East Northhampton St., Wilkes Barre, PA 18701 2007-06-27
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1427284322 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 307 Laird St, Wilkes Barre, PA 18702-6915 2009-06-05
1386884831 Luzerne/wyoming County Mh Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2009-02-24
1538317466 Luzerne/wyoming County Mh Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2008-09-04
1144341520 Luzerne Wyoming County Mh Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2007-04-03
1316068794 Luzerne Wyoming County Mh Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2007-04-03
1861513244 Luzerne Wyoming County Mh Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2007-04-03
1487774824 Luzerne Wyoming County Mental Health Center #1 Clinic/Center 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 2007-03-30

Providers in the same taxonomy and state

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
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Competitor

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City WILKES BARRE
Zip Code 18701

Improve Information

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Dataset Information

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.

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