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Kidspeace National Centers Inc

Organization Active NPI Psychiatric Residential Treatment Facility · Bethlehem, PA

NPI 1073658860 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1073658860
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Residential Treatment Facility 323P00000X
License
228710
Legal business name
KIDSPEACE NATIONAL CENTERS INC
Practice address
2958 Linden Street
Bethlehem, PA 18017
Phone
(800) 854-3123
Fax
(610) 799-8318
NPI assigned
Feb 20, 2007
Organization subpart
No

Authorized official

Name
Mr. Michael W Slack
Title
VP for Marketing and Business Devel
Phone
(800) 854-3123

Corporate family (same tax ID) 46

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

View all 46

National Provider Directory

Tax ID family
Kidspeace National Centers of Pennsylvania Inc (47 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 228710 Yes

Addresses

Primary practice location

2958 Linden Street
Bethlehem, PA 18017

Mailing address

4085 Independence Dr
Schnecksville, PA 18078
Phone (800) 854-3123

Other identifiers

IdentifierTypeStateIssuer
1007632900057MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073658860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "18078",
            "telephone_number": "800-854-3123",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2958 LINDEN STREET",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "800-854-3123",
            "fax_number": "610-799-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP FOR MARKETING AND BUSINESS DEVEL",
        "authorized_official_telephone_number": "800-854-3123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": "228710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007632900057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

All providers in Bethlehem, PA · Psychiatric Residential Treatment Facility in Pennsylvania

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