KIDSPEACE NATIONAL CENTER, INC (NPI# 1912042300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912042300 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTER, INC |
| Practice Address |
500 N Centre Street Suite 104 Pottsville PA 17901 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078 |
| Practice Telephone | 5705169987 |
| Practice Fax Number | 5705815103 |
| Mailing Telephone | (800) 854-3123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | MR. MICHAEL W SLACK (COO) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | 222190 | PA | Agencies |
| N | 253J00000X | Foster Care Agency | 206200 | PA | Agencies |
| N | 253J00000X | Foster Care Agency | 206180 | PA | Agencies |
| N | 253J00000X | Foster Care Agency | 206210 | PA | Agencies |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
222190 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100763290-0096 | 05 | |
| PA | 100763290-0105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538793658 | Kidspeace National Center, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-02-27 |
| Street Address |
500 N CENTRE STREET SUITE 104 |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1033289764 | The Redco Group, LLC. | Clinic/Center | 210 S Centre St, Pottsville, PA 17901-3501 | 2006-11-09 |
| 1245215268 | Redco Group, LLC | Clinic/Center | 16 S Centre St, Pottsville, PA 17901-3001 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 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 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.