Pennsylvania Comprehensive Behavioral Health Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

329640 Issued in PA

Legal business name

PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC

Practice address

2555 Cape Horn Rd
Red Lion, PA 17356-9057

Phone

(717) 600-0900

Fax

(717) 600-0910

NPI assigned

Apr 8, 2006

Organization subpart

No

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

Authorized official

Name

Heather Maletz

Title

Vice President

Phone

(717) 600-0900

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations (25 of 43)

Practitioners 73

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dayanese Alexandra Larieux, MA, ATR-BC, LPC

  • Professional Counselor
  • Lancaster, PA
  • NPI 1497365928

  PA

  Medicare reassignment Care Compare group NPD
• Beth A Lawhead, MD

  • Psychiatry Physician
  • Red Lion, PA
  • NPI 1811121346

  PA

  Medicare reassignment Care Compare group NPD
• Robert Anderson, D.O.

  • Psychiatry Physician
  • Hershey, PA
  • NPI 1730346164

  PA

  Medicare reassignment NPD
• Taisa McCain

  • Professional Counselor
  • Lancaster, PA
  • NPI 1003360751

  PA

  Medicare reassignment NPD
• Angela Patrice Pease, LCSW

  • Clinical Social Worker
  • Harrisburg, PA
  • NPI 1023771383

  PA, Single Specialty

  Medicare reassignment NPD
• Raghavendra Srinivasa, MD

  • Child & Adolescent Psychiatry Physician
  • Camp Hill, PA
  • NPI 1023070463

  PA

  Medicare reassignment NPD
• Stephanie Ann Binter, PSY. D.

  • Psychologist
  • Fairfax, VA
  • NPI 1902805047

  PA

  Medicare reassignment NPD
• Amanda Baginski

  • Social Worker
  • Red Lion, PA
  • NPI 1184448151
  NPD
• Leah Bielski

  • Clinical Psychologist
  • York, PA
  • NPI 1265063952
  NPD
• Genny Caba

  • Professional Counselor
  • Red Lion, PA
  • NPI 1326784513
  NPD
• Lori Ann Cape

  • Mental Health Counselor
  • Red Lion, PA
  • NPI 1053702258
  NPD
• Kimberly Cleck

  • Mental Health Counselor
  • Red Lion, PA
  • NPI 1528887437
  NPD

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1114980489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 Freedom Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17402",
            "country_code": "US",
            "telephone_number": "717-600-0900",
            "fax_number": "717-600-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20B E Roseville Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013868",
            "country_code": "US",
            "telephone_number": "717-560-2372",
            "fax_number": "717-560-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNSYLVANIA COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-08",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "MALETZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-600-0900"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "316610",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "329640",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "316610",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "329640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1579417",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50035025",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1579416",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007511540006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pinnacle Health Regional Physicians
• William Porr, RPH
• Nicole J Post, D.O.

• All providers in Red Lion, PA
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.