Methodist Services for Children and Families

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

214210 Issued in PA

Legal business name

METHODIST SERVICES FOR CHILDREN AND FAMILIES

Practice address

51 Market St
Bangor, PA 18013-1901

Phone

(610) 588-9109

Fax

(610) 588-5016

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Carol Olzinski, LSW

Title

Administrator

Phone

(610) 588-9109

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Counseling Services Doing business as

Tax ID family

Community Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Methodist Services for Children and Families

  • Community/Behavioral Health Agency
  • Aquashicola, PA
  • NPI 1417240599
  NPD tax ID

Locations

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1043450455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NORTHAMPTON ST",
            "address_2": "SUITE 607",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423543",
            "telephone_number": "610-252-2000",
            "fax_number": "610-588-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARKET ST",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131901",
            "telephone_number": "610-588-9109",
            "fax_number": "610-588-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SERVICES FOR CHILDREN AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "OLZINSKI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-588-9109",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "214210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001534600007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rayna McClain, PHARMD
• Robert Francis McEvoy, M.D.
• Susan Marie McVey, PTA
• Medic 9 Paramedic Service, Inc.
• Methodist Services
• Erica Jaclyn Miller, PT
• Jana Morris, MS, LPC, CCS, CAADC
• Michael Jeremy Natal Jr.
• Kimberly Niyogi, MACC, LPC
• Northwood Health Services, PC

• Community/Behavioral Health Agency in Bangor, PA
• Providers in Bangor, 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 Mar 16, 2011; 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.