NPIMap

Organization Active NPI

Child Guidance Resource Centers

  • Community/Behavioral Health Agency
  • Coatesville, PA
National Provider Identifier
1013030626
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILD GUIDANCE RESOURCE CENTERS
Practice address
744 E Lincoln Hwy
Coatesville, PA 19320-3590
Phone
(484) 454-8735
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Mr. Todd Jarger
Title
Director Pi
Phone
(454) 454-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 112610 PA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

744 E Lincoln Hwy
Coatesville, PA 19320-3590

Mailing address

2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone (454) 454-8700

Other identifiers 2

IdentifierTypeStateIssuer
112610MedicaidPA
100005940MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Resource Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1452729600000",
    "number": "1013030626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "454-454-8700",
            "fax_number": "454-454-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203590",
            "telephone_number": "484-454-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE RESOURCE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "JARGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR PI",
        "authorized_official_telephone_number": "454-454-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "112610",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112610",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.