NPIMap

Organization Active NPI

Children'S Center for Treatment and Education

  • Psychiatric Residential Treatment Facility
  • Youngsville, PA
National Provider Identifier
1003328071
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
448750 Issued in PA
Legal business name
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Practice address
585 E Main St
Youngsville, PA 16371-1129
Phone
(814) 817-1400
NPI assigned
Oct 31, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tina M Hannahs
Title
Business Office Director
Phone
(814) 817-1400

National Provider Directory

National Provider Directory
Tax ID family
Beacon Light Behavioral Health System14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

585 E Main St
Youngsville, PA 16371

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 448750 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

585 E Main St
Youngsville, PA 16371-1129

Mailing address

800 E Main St
Bradford, PA 16701-3278
Phone (814) 817-1400

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1007710210093MedicaidPA

Other names 1

NPPES NPI Registry
  • Beacon Light Behavioral Health System Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2022.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1003328071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013278",
            "telephone_number": "814-817-1400",
            "fax_number": "814-817-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E MAIN ST",
            "city": "YOUNGSVILLE",
            "state": "PA",
            "postal_code": "163711129",
            "telephone_number": "814-817-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR TREATMENT AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "HANNAHS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "814-817-1400"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "448750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007710210093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Light Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.