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KIDSPEACE NATIONAL CENTERS OF PENNSYLVANIA INC. NPI 1619303914


NPI Information

NPI: 1619303914
Provider Name: KIDSPEACE NATIONAL CENTERS, OF PENNSYLVANIA INC.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
5300 KIDSPEACE DR
OREFIELD, PA
ZIP 18069
Phone: (610) 799-8000
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KIDSPEACE NATIONAL CENTERS, OF PENNSYLVANIA INC. is a child and adolescent psychiatry psychiatry neurology in Orefield, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. KIDSPEACE NATIONAL CENTERS, OF PENNSYLVANIA INC. NPI is 1619303914. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5300 KIDSPEACE DR
OREFIELD, PA
ZIP 18069-044
Phone: (610) 799-8000
Fax: (610) 799-8801

The provider's authorized official is Michael Callan .
The authorized official title is Cfo and has the following contact phone number (610) 799-7517.

The enumeration date for this NPI number is 9/18/2013 and was last updated on 3/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100763290-0041MEDICAIDPENNSYLVANIA

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: 4/28/2024

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