NPIMap

Organization Active NPI

Children's Center for Treatment and Education

Doing business as Beacon Light Behavioral Health System

  • Adult Mental Health Clinic/Center
  • Warren, PA
National Provider Identifier
1043863947
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Doing business as
Beacon Light Behavioral Health System
Practice address
1885 Market St
Warren, PA 16365-1277
Phone
(814) 817-1400
Fax
(814) 362-5245
NPI assigned
Jul 19, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1885 Market St
Warren, PA 16365-1277

Mailing address

800 E Main St
Bradford, PA 16701-3278
Phone (814) 817-1400

Other practice location 1

800 E Main St
Bradford, PA 16701-3278
Phone (814) 817-1400 ext. 1411

Other practice location 2

623 Elm St
Tionesta, PA 16353-8803
Phone (814) 817-1400 ext. 1411

Other practice location 3

94 Hospital St
Ridgway, PA 15853-1974
Phone (814) 817-1400 ext. 1411

Other names 1

  • Beacon Light Behavioral Health System Doing business as

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

Locations

1885 Market St
Warren, PA 16365
Phone (814) 723-1832

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1043863947",
    "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": "814-817-1400",
            "fax_number": "814-362-5245"
        },
        {
            "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": "814-817-1400",
            "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": "814-817-1400 x1411",
            "fax_number": "814-362-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "623 Elm St",
            "address_purpose": "LOCATION",
            "city": "Tionesta",
            "state": "PA",
            "postal_code": "163538803",
            "country_code": "US",
            "telephone_number": "814-817-1400 x1411",
            "fax_number": "814-362-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "PA",
            "postal_code": "158531974",
            "country_code": "US",
            "telephone_number": "814-817-1400 x1411",
            "fax_number": "814-362-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR TREATMENT AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-24",
        "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": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Light Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon Light Behavioral Health System",
            "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 Jul 24, 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.