WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC


Address: 562 Wyoming Ave, Kingston, PA 18704-3721
Phone: 5708230070

WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1477789287) 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) 1477789287
Entity Type Organization
Organization Name WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Other Organization Name COMMUNITY COUSENLING SERVICE OF NE PA
Practice Address 562 Wyoming Ave
Kingston
PA 18704-3721
Practice Telephone 5708230070
Practice Fax Number 5708230123
Mailing Telephone 5705523700
Mailing Fax Number 5705523733
Enumeration Date 2009-06-08
Last Update Date 2018-04-09
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 251B00000X Case Management 222930 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 1022885770016 05

Other Provider/Organization Names

Other Name Type Code
Community Cousenling Service of NE PA Doing Business As Name - Organization

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
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
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05

Office Location

Street Address 562 WYOMING AVE
City KINGSTON
State PA
Zip Code 18704-3721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780683417 David Liskov Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2005-07-15
1376186064 Brent Smith Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2019-10-24
1275812661 Roseanne P Pace Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-08-16
1609172170 Brittany Bahner Counselor 562 Wyoming Ave, Kingston, PA 18704-3721 2011-02-01
1528368826 Mary Repasky Counselor 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 2010-11-02
1073842936 Wilkes Barre Behavioral Hospital Company LLC Registered Nurse 562 Wyoming Ave, Kingston, PA 18704-3721 2009-12-23
1285862409 David Liskov, Md Psychiatry & Neurology 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-25
1013144211 Md.mushfiqur Rahman Psychiatry & Neurology 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 2009-06-15
1114153921 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-08
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013557552 Millmark Health Inc. Psychiatry & Neurology 511 Pierce Street, Kingston, PA 18704 2020-01-13
1427550334 Michael Anthony Waltich Military Health Care Provider 82 Cooper Street, Pringle, PA 18704 2018-03-06
1376088435 Jae LLC Massage Therapist 512 Northhampton Street, Edwardsville, PA 18704 2016-12-28
1306278288 Mohammad Khaled Tashkandi Internal Medicine 490 Northampton St Ste 1, Edwardsville, PA 18704 2013-08-02
1396180014 Sammie Craven IIi Pharmacist 96 1st Avenue, Kingston, PA 18704 2013-05-08
1447693114 Catherine Mary Harding Nurse Practitioner 141 South Maple Ave, Kingston, PA 18704 2013-04-12
1861781403 Jennifer Ann Richards Pharmacist 22 West Side Mall, Edwardsville, PA 18704 2011-04-05
1558512772 Jolon Theresa Sherin Speech-Language Pathologist 1825 Sans Souci Highway, Hanover, PA 18704 2008-10-07
1932361102 Kari Ann Pietralczyk Audiologist 190 Welles Street, Forty-fort, PA 18704 2008-06-30
1467584151 John Christopher Storti Chiropractor 180 United Penn Plaza, Kingston, PA 18704 2007-03-09
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245634831 South Bay Mental Health Case Management 62 Evergreen St, Kingston, MA 02364-1426 2014-10-10
1801005640 Ulster County Dss Early Intervention Unit Case Management 1071 Development Ct, Kingston, NY 12401-1959 2007-05-21
1457565632 Resource Center Fro Accessible Living, Inc. Case Management 592 Ulster Ave, Kingston, NY 12401-1924 2007-05-09
1336284462 Southern Oklahoma Treatment Services, Inc. Case Management 500 Hwy 70 North, Kingston, OK 73439 2007-02-20
1568513083 Acn Group Ipa of Newyork Case Management 505 Boices Ln, Kingston, NY 12401-1083 2007-01-12
1346317591 Young Womens Christian Association of Ulster County Case Management 209 Clinton Ave, Kingston, NY 12401-5030 2006-11-30
1861969776 Timothy Albert Knight I Case Management 717 Highway 70 E, Kingston, OK 73439-8253 2018-10-29
1912305848 Ulster-greene Counties Chapter Nysarc Inc Case Management 471 Albany Ave, Kingston, NY 12401-2138 2014-12-09
1225302037 Family of Woodstock, Inc Case Management 39 John St, Kingston, NY 12401-3821 2012-02-27
1518280379 Sullivan Care Solutions Case Management 28 Ocean Hill Dr, Kingston, MA 02364-3010 2010-03-09
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Competitor

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City KINGSTON
Zip Code 18704

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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