NPIMap

Organization Active NPI

Children'S Center for Treatment and Education

  • Community/Behavioral Health Agency
  • Warren, PA
National Provider Identifier
1043331994
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Practice address
1885 Market St
Warren, PA 16365-1277
Phone
(814) 723-1832
Fax
(814) 362-5245
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Tina M Cary
Title
Credentialing
Phone
(814) 817-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1885 Market St
Warren, PA 16365-1277

Mailing address

800 E Main St
Bradford, PA 16701-3278
Phone (814) 362-5250

Other practice location 1

800 E Main St
Bradford, PA 16701-3278
Phone (814) 362-5250

Other identifiers 1

IdentifierTypeStateIssuer
100771021MedicaidPA

Other names 1

  • Beacon Light Behavioral Health Systems Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.ccbh.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Beacon Light Behavioral Health System14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1043331994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013278",
            "telephone_number": "814-362-5250",
            "fax_number": "814-362-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MARKET ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651277",
            "telephone_number": "814-723-1832",
            "fax_number": "814-362-5245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167013278",
            "country_code": "US",
            "telephone_number": "814-362-5250",
            "fax_number": "814-362-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR TREATMENT AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "814-817-1400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771021",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.ccbh.com",
            "affiliation": "N",
            "endpointDescription": "upload site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "837p",
            "address_1": "800 E Main St",
            "city": "Bradford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "167013278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beacon Light Behavioral Health Systems",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Light Behavioral Health Systems",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.