NPIMap

Organization Active NPI

Teamcare Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, PA
National Provider Identifier
1043408818
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
324500 Issued in PA
Legal business name
TEAMCARE BEHAVIORAL HEALTH, LLC
Practice address
1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone
(717) 391-0172
Fax
(717) 391-7771
NPI assigned
Oct 5, 2007
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Pam Weitzel
Title
Office Manager
Phone
(717) 391-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 324500 PA Primary

Addresses

Primary practice location

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745

Mailing address

1808 Colonial Village LN
Suite 103
Lancaster, PA 17601-6745
Phone (717) 391-0172

Other practice location 1

5570 Derry St
Harrisburg, PA 17111-3517
Phone (717) 525-9804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120619000458 PA Part B Supplier - Clinic/Group Practice 4183888324 Receives reassigned benefits from 13 practitioners
Practice locations: Harrisburg, PA; Lancaster, PA

National Provider Directory

National Provider Directory

Locations

1808 Colonial Village Ln
Ste 103
Lancaster, PA 17601
Phone (717) 391-0172

Practitioners & affiliated clinicians

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1043408818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COLONIAL VILLAGE LN",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016745",
            "telephone_number": "717-391-0172",
            "fax_number": "717-391-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5570 Derry St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171113517",
            "country_code": "US",
            "telephone_number": "717-525-9804",
            "fax_number": "717-391-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEAMCARE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-391-0172"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "324500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.