EDGEWATER PSYCHIATRIC CENTER (NPI# 1821267543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821267543 |
| Entity Type | Organization |
| Organization Name | EDGEWATER PSYCHIATRIC CENTER |
| Practice Address |
2421 N Front St Harrisburg PA 17110-1110 |
| Mailing Address |
1320 Linglestown Rd Harrisburg PA 17110-2822 |
| Practice Telephone | 7174419565 |
| Mailing Telephone | 7174419565 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MR. MATTHEW ZABOLOTNY (CORP. SR. DIRECTOR OF BUSINESS OPS.) |
| Authorized Official Telephone | 7174419565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007457920002 | 05 | |
| PA | 1007457920005 | 05 | |
| PA | 1007457920004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757692 | Edgewater Psychiatric Center | Community/Behavioral Health | 295 State Dr, Elizabethville, PA 17023-8661 | 2007-04-13 |
| 1487878609 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2007-04-11 |
| 1376712091 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2213 | 2008-02-27 |
| 1356565576 | Edgewater Psychiatric Center | Community/Behavioral Health | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2007-04-11 |
| 1720202948 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2241 | 2007-04-11 |
| Street Address |
2421 N FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878609 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| 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 |
|---|---|---|---|---|
| 1073139754 | Holcomb Associates Inc. | Community/Behavioral Health | 160 S Progress Ave Ste 2c, Harrisburg, PA 17109-4636 | 2020-06-18 |
| 1932735883 | Akoma Healing Center, LLC. | Community/Behavioral Health | 2843 N Front St Ste 204, Harrisburg, PA 17110-1268 | 2020-03-22 |
| 1013479211 | Mindful Care Counseling LLC | Community/Behavioral Health | 1007 N Front St Ste 101a, Harrisburg, PA 17102-3320 | 2019-04-05 |
| 1477015964 | Solace Center | Community/Behavioral Health | 8456 Twickenham Ter, Harrisburg, NC 28075-5101 | 2019-04-03 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1851748495 | Hutchison House | Community/Behavioral Health | 4770 The Arbors Dr, Harrisburg, NC 28075-3921 | 2016-05-24 |
| 1013363134 | Diakon Lutheran Social Ministries | Community/Behavioral Health | 2135 N 6th St, Harrisburg, PA 17110-2404 | 2016-05-07 |
| 1497113393 | Keystone Service Systems, Inc | Community/Behavioral Health | 5250 Reynolds Ln, Harrisburg, PA 17111-3239 | 2016-02-05 |
| 1730545203 | Keystone Service Systems, Inc | Community/Behavioral Health | 3105 Hoffer St, Harrisburg, PA 17103-2153 | 2016-01-13 |
| 1306249909 | New Story | Community/Behavioral Health | 6818 Jefferson St, Harrisburg, PA 17111-4444 | 2014-09-27 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
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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.