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Organization Active NPI

Carbon-Monroe-Pike MH/Mr Program

  • Case Management Agency
  • Stroudsburg, PA
National Provider Identifier
1104017201
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CARBON-MONROE-PIKE MH/MR PROGRAM
Practice address
730A Phillips St
Stroudsburg, PA 18360-2239
Phone
(570) 420-1900
Fax
(570) 517-5422
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Sheila Theodorou
Title
Administrator
Phone
(570) 420-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

730A Phillips St
Stroudsburg, PA 18360-2239

Mailing address

724 Phillips St
Suite 202
Stroudsburg, PA 18360-2242
Phone (570) 420-1900

National Provider Directory

National Provider Directory
Tax ID family
Carbon-Monroe-Pike MHMR Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

724 Phillips St
Ste 202
Stroudsburg, PA 18360

730 Phillips St
#A
Stroudsburg, PA 18360
Phone (570) 420-1900

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1104017201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST",
            "address_2": "SUITE 202",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-420-1900",
            "fax_number": "570-517-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730A PHILLIPS ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602239",
            "telephone_number": "570-420-1900",
            "fax_number": "570-517-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON-MONROE-PIKE MH/MR PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-420-1900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.