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MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA NPI 1881765527


NPI Information

NPI: 1881765527
Provider Name: MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
21 MAIN ST
TOWANDA, PA
ZIP 18848
Phone: (570) 265-2525
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MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA is a clinic center in Towanda, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MENTAL HEALTH ASSOCIATES OF NORTH CENTRAL PA NPI is 1881765527. The provider is registered as an organization entity type.

The provider's business location address is:

21 MAIN ST
TOWANDA, PA
ZIP 18848-803
Phone: (570) 265-2525
Fax: (570) 265-1075

The provider's authorized official is Renee Lynn Casselbury .
The authorized official title is Business Manager and has the following contact phone number (570) 265-2525.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 3/9/2011.


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
1251S00000XCommunity/Behavioral Health087021PENNSYLVANIANo
2251K00000XPublic Health or Welfare087021PENNSYLVANIANo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)087021PENNSYLVANIANo
4261QM0855XClinic/CenterAdolescent and Children Mental Health087021PENNSYLVANIANo
5261QM0850XClinic/CenterAdult Mental Health087021PENNSYLVANIANo
6261Q00000XClinic/Center087022PENNSYLVANIANo
7251K00000XPublic Health or Welfare087022PENNSYLVANIANo
8101Y00000XCounselorNo
9101YA0400XCounselorAddiction (Substance Use Disorder)087021PENNSYLVANIANo
10101YM0800XCounselorMental HealthNo
11261Q00000XClinic/Center087021PENNSYLVANIAYes

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
11007444270008MEDICAIDPENNSYLVANIA

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

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