KIDSPEACE CHILDREN'S HOSPITAL, INC. (NPI# 1811032501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811032501 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE CHILDREN'S HOSPITAL, INC. |
| Practice Address |
1620 Broadway Bethlehem PA 18015-3904 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 8008543123 |
| Practice Fax Number | 6107998318 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | MR. MICHAEL W SLACK (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
218750 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100728370-0016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396218871 | Kidspeace Children's Hospital, Inc. | Psychiatric Hospital | 451 Chew St Ste 105, Allentown, PA 18102-3412 | 2019-01-07 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1598932261 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1151 Pocono Blvd Ste 2, Mount Pocono, PA 18344-1033 | 2008-05-13 |
| 1740824978 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 829 W Turner St, Allentown, PA 18102-4066 | 2019-10-31 |
| 1851864979 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1151 Pocono Blvd Ste 2, Mount Pocono, PA 18344-1033 | 2019-01-11 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1083048920 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 704 Hay Rd, Temple, PA 19560-1843 | 2013-08-28 |
| Street Address |
1620 BROADWAY |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097240 | Sara Marie Cohen | Social Worker | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-09-11 |
| 1356952683 | Kristina Rose Mooney | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-08-11 |
| 1154931137 | Emily Lynn Snyder | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-08-05 |
| 1922616838 | Chelsea Eileen Goncalves | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-07-16 |
| 1780210302 | Jianrong Zhang | Social Worker | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-03-15 |
| 1972136521 | Kidspeace National Centers, Inc. | Community/Behavioral Health | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-02-21 |
| 1235778598 | Aaron Lamar Bayard | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-01-03 |
| 1154963304 | Collyn Pierce Dorney | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2019-10-09 |
| 1326680661 | Catherine Buck | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2019-10-08 |
| 1831740570 | Adrienne Nicole Pauling | Counselor | 1620 Broadway, Bethlehem, PA 18015-3904 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273791 | Colonial Intermediate Unit 20 | Clinic/Center | 1002 West Union Blvd, Bethlehem, PA 18018-3509 | 2017-09-07 |
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| 1356463657 | Colonial Intermediate Unit 20 | Clinic/Center | 114 W Morton St, Bethlehem, PA 18015-1636 | 2007-04-06 |
| 1285756411 | Colonial Intermediate Unit 20 | Clinic/Center | 1110 Fernwood St, Bethlehem, PA 18018-3016 | 2007-04-06 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1669594966 | Colonial Intermediate Unit 20 | Clinic/Center | 3149 Chester Ave, Bethlehem, PA 18020-2866 | 2007-04-06 |
| 1326173360 | Kidspeace Childrens Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-22 |
| Find all providers in BETHLEHEM | ||||
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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.