DIAKON CHILD FAMILY AND COMMUNITY MINISTRIES (NPI# 1548631583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548631583 |
| Entity Type | Organization |
| Organization Name | DIAKON CHILD FAMILY AND COMMUNITY MINISTRIES |
| Practice Address |
2990 W 4th St Williamsport PA 17701-4197 |
| Mailing Address |
435 W 4th St Williamsport PA 17701-6001 |
| Practice Telephone | 5703227873 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |
| Authorized Official Name | LAUREL SPENCER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5703227873 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIAKON LUTHERAN SOCIAL MINISTRIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 331600 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1029202560001 | 05 | |
| PA | MEDICARE PTAN | 379904 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821469867 | Diakon Child Family and Community Ministries | Community/Behavioral Health | 2800 W 4th St, Williamsport, PA 17701-4139 | 2015-10-16 |
| Street Address |
2990 W 4TH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834808 | Melissa Anne Loudenslager | Specialist/Technologist | 2990 W 4th St, Williamsport, PA 17701-9134 | 2007-03-05 |
| 1215068382 | Monica Elizabeth Anderson | Specialist/Technologist | 2990 W 4th St, Williamsport, PA 17701-4197 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1821469867 | Diakon Child Family and Community Ministries | Community/Behavioral Health | 2800 W 4th St, Williamsport, PA 17701-4139 | 2015-10-16 |
| 1508119223 | Roads To Freedom | Community/Behavioral Health | 24 E 3rd St, Williamsport, PA 17701-6621 | 2012-10-18 |
| 1225368608 | Merakey Pennsylvania | Community/Behavioral Health | 227 Academy St, Williamsport, PA 17701-6603 | 2010-01-06 |
| 1669683777 | Neuropsychological Services At Clear Vision LLC | Community/Behavioral Health | 1335 Lose Ave, Williamsport, PA 17701-2708 | 2007-05-24 |
| 1902926918 | White Deer Run, Inc | Community/Behavioral Health | 901 Westminster Dr, Williamsport, PA 17701-3909 | 2007-03-31 |
| 1952485633 | Pa Treatment & Healing | Community/Behavioral Health | 1536 Catherine St, Williamsport, PA 17701-2518 | 2006-10-25 |
| 1346780863 | Pa Treatment and Healing | Community/Behavioral Health | 1536 Catherine St, Williamsport, PA 17701-2518 | 2017-03-02 |
| 1588017602 | Diakon Child Family & Community Ministries | Community/Behavioral Health | 520 W 4th St, Williamsport, PA 17701-6038 | 2016-07-14 |
| 1689022394 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 520 W 4th St, Williamsport, PA 17701-6038 | 2016-06-03 |
| 1114337391 | Diakon Child, Family & Community Ministries | Community/Behavioral Health | 435 W 4th St, Williamsport, PA 17701-6001 | 2014-04-28 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on DIAKON CHILD FAMILY AND COMMUNITY MINISTRIES.
| 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.