NPIMap

Organization Active NPI

Concern-Professional Services for Children, Youth & Families

  • Clinic/Center
  • Leesport, PA
National Provider Identifier
1023843448
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
1040 Berk Rd
Leesport, PA 19533-8700
Phone
(610) 371-8035
NPI assigned
Sep 5, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Gordon H May
Title
President/Ceo
Phone
(484) 578-9600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

1040 Berk Rd
Leesport, PA 19533-8700

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (484) 240-9272

Other identifiers 1

IdentifierTypeStateIssuer
100006375MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Concern-Professional Services for Children Youth Families135 organizations share this tax ID, including this one
Part of
Concern-Professional Services for Children Youth Families

Organizations with this tax ID in the same state 16

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

View all 16

Locations

1 W Main St
Fleetwood, PA 19522

1040 Berk Rd
Leesport, PA 19533
Phone 61020848004634

Practitioners & affiliated clinicians

Practitioners 2

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1023843448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "484-240-9272",
            "fax_number": "570-300-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BERK RD",
            "city": "LEESPORT",
            "state": "PA",
            "postal_code": "195338700",
            "telephone_number": "610-371-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "484-578-9600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006375",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.