Redco Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

224590 Issued in PA

Legal business name

REDCO GROUP, LLC

Doing business as

Clarvida

Practice address

564 Main St
Second Floor
Stroudsburg, PA 18360-2004

Phone

(570) 420-8070

NPI assigned

Apr 16, 2007

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Sohosky

Title

Coo

Phone

(570) 628-5215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clarvida Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lehighton, PA
  • NPI 1174694897

  O20031201000295

  Same enrollment
• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pottsville, PA
  • NPI 1326024043

  O20031201000295

  Same enrollment
• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pottsville, PA
  • NPI 1376528331

  O20031201000295

  Same enrollment
• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, PA
  • NPI 1497731137

  O20031201000295

  Same enrollment
• Redco Group, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stroudsburg, PA
  • NPI 1538145453

  O20031201000295

  Same enrollment

Locations

Practitioners 13

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.

• Wilson G Fuchi

  • Psychiatric/Mental Health Nurse Practitioner
  • Allentown, PA
  • NPI 1528773793
  NPD
• Patti Ann Laskey

  • Family Nurse Practitioner
  • Monroeville, PA
  • NPI 1447792031
  NPD
• Peter Akos Migaly, M.D.

  • Psychiatry Physician
  • Torrance, PA
  • NPI 1760403422
  NPD
• Barbara Anne Poncelet, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pottsville, PA
  • NPI 1942236799
  NPD
• Katie Ulrich

  • Family Nurse Practitioner
  • Ebensburg, PA
  • NPI 1104469188
  NPD
• Constance M Walck, LPC

  • Professional Counselor
  • Stroudsburg, PA
  • NPI 1184802548
  NPD
• Elmer Cupino, MD

  • Child & Adolescent Psychiatry Physician
  • Springfield, MA
  • NPI 1376518977
  NPD
• Niru Shamsun Nahar, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1316182074
  NPD
• Cynthia Ann Reddy, CRNP

  • Family Nurse Practitioner
  • Cave Creek, AZ
  • NPI 1568806677
  NPD
• Jennifer Wood Collier, LSW

  • Mental Health Counselor
  • Stroudsburg, PA
  • NPI 1164692794
  NPD (past)
• Libby Ann Nonnemacher, LPC

  • Mental Health Counselor
  • Lehighton, PA
  • NPI 1558517524
  NPD (past)
• Pareshkumar C Solgama, MD

  • Psychiatry Physician
  • Wilkes Barre, PA
  • NPI 1417973876
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1013132190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602004",
            "telephone_number": "570-420-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602004",
            "telephone_number": "570-420-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "SOHOSKY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-628-5215"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "224590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017170471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elisabeth Rampersad, CRNP
• Randy Nolf PC (Thrive Sleep and Breathing)
• Herline Raphael
• Jessica Lynn Raudabaugh
• Eileen M Rayeski, PT
• Redco Group, LLC (Clarvida)
• Essie Reed-Schrader
• France L Reed, CRNP
• Madison Reehl, PA-C
• Erin Reiche

• Community/Behavioral Health Agency in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.