NPIMap

Organization Active NPI

Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Pottsville, PA
National Provider Identifier
1003939364
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERAKEY PENNSYLVANIA
Practice address
One Norwegian Plaza
Suite 200
Pottsville, PA 17901-3018
Phone
(215) 836-3131
Fax
(215) 273-5975
NPI assigned
Apr 9, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Derrick Yacovelli
Title
Cfo
Phone
(610) 260-4601

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinic/Center 261Q00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

One Norwegian Plaza
Suite 200
Pottsville, PA 17901-3018

Mailing address

620 Germantown Pike
Lafayette Hill, PA 19444-1810
Phone (215) 836-3131

Other practice location 1

951 Marcon Blvd
Allentown, PA 18109-9370
Phone (610) 866-8331

Other practice location 2

1 Valley St
Carlisle, PA 17013-3193
Phone (215) 836-3131

Other practice location 3

9150 Bereford Dr
Baton Rouge, LA 70809-2403
Phone (215) 836-3131

Other identifiers 10

IdentifierTypeStateIssuer
1000017440693MedicaidPA
1000017440726MedicaidPA
1000017440740MedicaidPA
1000017440937MedicaidPA
1000017441053MedicaidPA
1000017441177MedicaidPA
1000017441182MedicaidPA
1000017441190MedicaidPA
1000017441180MedicaidPA
1000017441003MedicaidPA

Other names 1

  • NHS Pennsylvania Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000719 PA Part B Supplier - Clinic/Group Practice 9032199856 Receives reassigned benefits from 14 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stroudsburg, PA; Pottsville, PA; Pittsburgh, PA; Nazareth, PA; Mount Pocono, PA; Montrose, PA; Honesdale, PA; Harrisburg, PA…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Merakey Pennsylvania81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1 Valley St
Carlisle, PA 17013

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1003939364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441810",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE NORWEGIAN PLAZA",
            "address_2": "SUITE 200",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013018",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Marcon Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099370",
            "country_code": "US",
            "telephone_number": "610-866-8331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Valley St",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170133193",
            "country_code": "US",
            "telephone_number": "215-836-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 Bereford Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708092403",
            "country_code": "US",
            "telephone_number": "215-836-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERAKEY PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "YACOVELLI",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-260-4601"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440693",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440726",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440740",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440937",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441053",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441177",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441182",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441190",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441180",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017441003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.