NPIMap

Organization Active NPI

Kidspeace National Centers for Kids in Crisis, Inc.

  • Family Medicine Physician
  • Orefield, PA
National Provider Identifier
1013039916
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS, INC.
Practice address
5300 Kidspeace Dr
Orefield, PA 18069-2044
Phone
(610) 799-8000
Fax
(610) 799-8900
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Michael Callan
Title
Cfo
Phone
(610) 799-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5300 Kidspeace Dr
Orefield, PA 18069-2044

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8000

Other identifiers 1

IdentifierTypeStateIssuer
100763290-0041MedicaidPA

Other names 1

  • KidsPeace National Centers, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers of Pennsylvania Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1013039916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-8000",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KIDSPEACE DR",
            "city": "OREFIELD",
            "state": "PA",
            "postal_code": "180692044",
            "telephone_number": "610-799-8000",
            "fax_number": "610-799-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-799-7517"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763290-0041",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidsPeace National Centers, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orefield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.