LIBERTY BEHAVIORAL HEALTH, CORP. (NPI# 1619203502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619203502 |
| Entity Type | Organization |
| Organization Name | LIBERTY BEHAVIORAL HEALTH, CORP. |
| Practice Address |
1600 Hanover Ave Steward Building Allentown PA 18109-2408 |
| Mailing Address |
401 E City Ave Suite 820 Bala Cynwyd PA 19004-1122 |
| Practice Telephone | 6102956600 |
| Mailing Telephone | 6106688800 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Authorized Official Name | MR. HERBERT CASKY (CEO) |
| Authorized Official Telephone | 6106688800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Street Address |
1600 HANOVER AVE STEWARD BUILDING |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18109-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626919 | Pennsylvania Department of Public Welfare | Psychiatric Hospital | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2005-11-18 |
| 1992005003 | Merakey Pennsylvania | Community/Behavioral Health | 1600 Hanover Ave, Allentown State Hospital Building 1, Allentown, PA 18109-2498 | 2010-10-25 |
| 1992918106 | Allentown State Hospital Pharmacy | Pharmacy | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2007-05-07 |
| 1386676013 | Mohammed Aslam | Internal Medicine | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-06 |
| 1689606337 | Nisha Rai | Internal Medicine | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-06 |
| 1780614016 | Anjam Bhatti | Internal Medicine | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-03 |
| 1205865060 | Albert Ratzin | Psychologist | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-02 |
| 1295764595 | Jiwesh Jha | Psychiatry & Neurology | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-01 |
| 1639108939 | Sanjay Kale | General Practice | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-01 |
| 1336178425 | Douglas Selbe | Dentist | 1600 Hanover Ave, Allentown, PA 18109-2408 | 2006-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422759 | Dinamarca Cedeno | Counselor | 406 Hanover Av, Allentown, PA 18109 | 2018-10-12 |
| 1740777937 | St. Luke's Physician Group, Inc. | Family Medicine | 1202 Hanover Ave, Allentown, PA 18109 | 2018-04-13 |
| 1730622010 | Dana Joyce Morgan-buck | Assistant Behavior Analyst | 881 Macron Blvd, Suite 3900, Allentown, PA 18109 | 2016-11-18 |
| 1043562226 | Linda Lucille Getz-phillips | Social Worker | 1530 Hanover Ave, Allentown, PA 18109 | 2012-10-11 |
| 1033442280 | Recovercare, LLC | Durable Medical Equipment & Medical Supplies | 964 Marcon Blvd., Suite 110, Allentown, PA 18109 | 2009-09-04 |
| 1881888394 | Lisa Anne Churinskas-hulit | Social Worker | 1530 Hanover Avenue, Allentown, PA 18109 | 2007-08-29 |
| 1700925104 | Jeffrey Daryl Kindler | Psychologist | 801 E Green St, Kids Peace Bhrs, Allantown, PA 18109 | 2007-02-05 |
| 1912059585 | Kimberly Lynn Bonner | Social Worker | 961 Marcon Blvd, Suite 312, Allentown, PA 18109 | 2007-01-17 |
| 1013066224 | Joseph Barchini | Chiropractor | 771 Hanover Avenue, Allentown, PA 18109 | 2007-01-09 |
| 1700949161 | Glenn R Koch and Associates Inc | Psychiatry & Neurology | 961 Marcon Boulevard, Suite 312, Allentown, PA 18109 | 2006-12-18 |
| Find all providers in zip 18109 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERTY BEHAVIORAL HEALTH, CORP..
| 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.