NPIMap

Organization Active NPI

Myerstown Behavioral Outpatient

  • Adult Mental Health Clinic/Center
  • Myerstown, PA
National Provider Identifier
1093620437
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MYERSTOWN BEHAVIORAL OUTPATIENT
Practice address
7 W Park Ave
Myerstown, PA 17067-1340
Phone
(225) 810-6134
NPI assigned
Aug 18, 2026
Organization subpart
Yes
Parent organization
MYERSTOWN BEHAVIORAL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Joseph Thibeaux
Title
Ceo
Phone
(225) 810-6134

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

7 W Park Ave
Myerstown, PA 17067-1340

Mailing address

7 W Park Ave
Myerstown, PA 17067-1340
Phone (225) 810-6134

National Provider Directory

National Provider Directory
Tax ID family
Myerstown Behavioral Hospital LLC2 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.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1093620437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W PARK AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671340",
            "telephone_number": "225-810-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W PARK AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170671340",
            "telephone_number": "225-810-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERSTOWN BEHAVIORAL OUTPATIENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYERSTOWN BEHAVIORAL HOSPITAL LLC",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "THIBEAUX",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-810-6134"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.