NPIMap

Organization Active NPI

Colonial Iu 20

  • Adolescent and Children Mental Health Clinic/Center
  • Pen Argyl, PA
National Provider Identifier
1043498272
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
235100 Issued in PA
Legal business name
COLONIAL IU 20
Practice address
Pen Argyl Area High School
501 West Laurel Ave
Pen Argyl, PA 18072
Phone
(610) 515-6440
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Dr. Christopher S Wolfel, D. ED
Title
Executive Director
Phone
(610) 252-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 235100 PA Primary

Addresses

Primary practice location

Pen Argyl Area High School
501 West Laurel Ave
Pen Argyl, PA 18072

Mailing address

6 Danforth Drive
Easton, PA 18045-7899
Phone (610) 252-5550

Other identifiers 1

IdentifierTypeStateIssuer
100754460MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Colonial Intermediate Unit 2044 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1043498272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DANFORTH DRIVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457899",
            "telephone_number": "610-252-5550",
            "fax_number": "610-515-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEN ARGYL AREA HIGH SCHOOL",
            "address_2": "501 WEST LAUREL AVE",
            "city": "PEN ARGYL",
            "state": "PA",
            "postal_code": "18072",
            "telephone_number": "610-515-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL IU 20",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "WOLFEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-252-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. ED"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "235100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100754460",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pen Argyl, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.