PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (NPI# 1447233424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447233424 |
Entity Type | Organization |
Organization Name | PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES |
Other Organization Name | CLARKS SUMMIT STATE HOSPITAL |
Practice Address |
1451 Hillside Dr Clarks Summit PA 18411-9504 |
Practice Telephone | 5705877250 |
Practice Fax Number | 5705877415 |
Mailing Telephone | 5705877250 |
Mailing Fax Number | 5705877415 |
Enumeration Date | 2005-11-23 |
Last Update Date | 2019-10-22 |
Authorized Official Name | PATTI A. EISNER JR. (ADMINISTRATOR) |
Authorized Official Telephone | 7177052774 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 283Q00000X | Psychiatric Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100308518 | 05 |
Other Name | Type Code |
---|---|
Clarks Summit State Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790768471 | Pennsylvania Department of Human Services | Pharmacy | 33 Main Dr, North Warren, PA 16365-5001 | 2005-11-28 |
1760465454 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 827 Oley Valley Rd, White Haven, PA 18661-3043 | 2005-11-28 |
1376526111 | Pennsylvania Department of Human Services | Pharmacy | State Route 1014, Torrance, PA 15779-0111 | 2005-11-25 |
1851374698 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1 Lakewood Circle, Polk, PA 16342 | 2005-11-25 |
1295718039 | Pennsylvania Department of Human Services | Nursing Facility/Intermediate Care Facility | 10058 S Mountain Rd, South Mountain, PA 17261-0900 | 2005-11-25 |
1457334336 | Pennsylvania Department of Human Services | Pharmacy | 50 Kirkbride Dr, Danville, PA 17821-8630 | 2005-11-23 |
1447233317 | Pennsylvania Department of Human Services | Psychiatric Hospital | 1001 Sterigere St, Norristown, PA 19401-5300 | 2005-11-23 |
1437132651 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 3560 Old Rte 22, Hamburg, PA 19526 | 2005-11-22 |
1508849738 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 1000 Us Highway 522, Selinsgrove, PA 17870-8707 | 2005-11-22 |
1154304483 | Pennsylvania Department of Human Services | Intermediate Care Facility, Mentally Retarded | 4051 Admiral Peary Hwy, Ebensburg, PA 15931-4332 | 2005-11-21 |
Street Address |
1451 HILLSIDE DR |
City | CLARKS SUMMIT |
State | PA |
Zip Code | 18411-9504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538699384 | Michael Hennigan | Nurse Practitioner | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2017-06-14 |
1750732566 | Jeffrey Hubert | Pharmacist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2016-06-23 |
1194161398 | Susan Nardella | Psychologist | 1451 Hillside Dr, Clarks Summit State Hospital - Psychology Department, Clarks Summit, PA 18411-9504 | 2013-05-14 |
1003165549 | Christie Sworen | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2012-08-30 |
1023268323 | Pa Deptment of Public Welfare | Pharmacy | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2008-09-23 |
1407985609 | David Bengt Nesbit | Psychiatry & Neurology | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-03-05 |
1760519250 | Yao C Wang | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-28 |
1023144813 | Susan C Lee | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
1568598381 | Peter Paul Cupple | Specialist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-26 |
1699816496 | Alan Robert Benson | Psychologist | 1451 Hillside Dr, Clarks Summit, PA 18411-9504 | 2007-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881228153 | Hayley Nicole Zelinka | Physical Therapist | 1000 Edella Road, South Abington, PA 18411 | 2020-02-26 |
1023657269 | Erica Lynn Bednarz | Physical Therapist | 1001 Scenic Drive, Clarks Summit, PA 18411 | 2020-01-06 |
1386298842 | Gj-mac Enterprises LLC | In Home Supportive Care | 506 N State Street, Clarks Summit, PA 18411 | 2019-08-01 |
1609392117 | Colleen Marie Dougherty | Nurse Practitioner | 1145 Northern Boulevard, South Abington, PA 18411 | 2017-08-16 |
1629438312 | Christopher Oyede | Psychiatry & Neurology | 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 | 2016-02-24 |
1194107326 | Russell Zapko | Physical Medicine & Rehabilitation | 100 Edella Road, South Abington, PA 18411 | 2015-06-24 |
1952719619 | Geisinger Clinic | Family Medicine | 790 North Blvd, Suite K, Clarks Summit, PA 18411 | 2014-07-25 |
1437428182 | Gloria Marie Gigliotti | Behavioral Analyst | 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 | 2011-12-27 |
1790064137 | John D Cacciamani | Internal Medicine | 1345 Glenview Rd., Clarks Summit, PA 18411 | 2011-08-16 |
1235372418 | Five Star Quality Care-ghv, LLC | Assisted Living Facility | 950 Morgan Highway, Clarks Summit, PA 18411 | 2009-04-17 |
Find all providers in zip 18411 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639715618 | Reading Behavioral Healthcare, LLC | Psychiatric Hospital | 201 Wellness Way, Reading, PA 19605 | 2019-11-25 |
1396218871 | Kidspeace Children's Hospital, Inc. | Psychiatric Hospital | 451 Chew St Ste 105, Allentown, PA 18102-3412 | 2019-01-07 |
1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
1801247671 | Mhm Inc. | Psychiatric Hospital | 286 Woodland Dr, Marienville, PA 16239 | 2016-06-23 |
1316374432 | Hahnemann University Hospital | Psychiatric Hospital | 4700 City Avenue, Apt 12307, Philadelphia, PA 19131 | 2013-10-03 |
1730447228 | Western Psychiatric Institute and Clinic | Psychiatric Hospital | 102 Harbison Pl, Pittsburgh, PA 15212-2248 | 2012-05-02 |
1922386358 | North Philadelphia Health System | Psychiatric Hospital | 801 W. Girard Ave, Philadelphia, PA 19122-4212 | 2011-08-03 |
1902061922 | Va Highland Drive | Psychiatric Hospital | 10 Allegheny Ctr, Apt 224, Pittsburgh, PA 15212-5245 | 2008-07-21 |
1972621597 | Pennsylvania Department of Public Welfare | Psychiatric Hospital | Cameron and Maclay, Dpw Bfo Ros, Harrisburg, PA 17103 | 2007-03-26 |
Find all providers with the same taxonomy |
City | CLARKS SUMMIT |
Zip Code | 18411 |
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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.