PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES LLC NPI 1114980489

NPI Information

NPI: 1114980489
Provider Name: PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
2555 CAPE HORN RD
RED LION, PA
ZIP 17356
Phone: (717) 600-0900
Get Directions

PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC is an adolescent and children mental health clinic center in Red Lion, PA. The provider is 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. PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC NPI is 1114980489. The provider is registered as an organization entity type.

The provider's business location address is:

2555 CAPE HORN RD
RED LION, PA
ZIP 17356-057
Phone: (717) 600-0900
Fax: (717) 600-0910

The provider's authorized official is Heather Maletz .
The authorized official title is Vice President and has the following contact phone number (717) 600-0900.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 4/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	316610	PENNSYLVANIA	No
2	261QM0850X	Clinic/Center	Adult Mental Health	329640	PENNSYLVANIA	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	316610	PENNSYLVANIA	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	329640	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007511540006	MEDICAID	PENNSYLVANIA
2	1579416	OTHER	PENNSYLVANIA	HIGHMARK BS
3	50035025	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
4	1579417	OTHER	PENNSYLVANIA	HIGHMARK BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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