Central Pennsylvania Supportive Services, Inc. (CPSS)

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

159341 Issued in PA

Legal business name

CENTRAL PENNSYLVANIA SUPPORTIVE SERVICES, INC. (CPSS)

Practice address

1820 Linglestown Rd
Suite SE-L
Harrisburg, PA 17110-3339

Phone

(717) 901-5099

Fax

(717) 901-0388

NPI assigned

Apr 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Leta J. Deatrick, CPRP

Title

Director/President

Phone

(717) 901-5099

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1003259672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62126",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171062126",
            "telephone_number": "717-901-5099",
            "fax_number": "717-901-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 LINGLESTOWN RD",
            "address_2": "SUITE SE-L",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103339",
            "telephone_number": "717-901-5099",
            "fax_number": "717-901-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PENNSYLVANIA SUPPORTIVE SERVICES, INC. (CPSS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "DEATRICK",
        "authorized_official_first_name": "LETA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "717-901-5099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPRP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "159341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101858549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.