NPIMap

Organization Active NPI

Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kutztown, PA
National Provider Identifier
1124427349
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
204150 Issued in PA
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
50 Trexler Ave
Kutztown, PA 19530-9700
Phone
(610) 944-0445
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Gordon H. May
Title
Executive Director
Phone
(610) 944-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 204150 PA Primary

Addresses

Primary practice location

50 Trexler Ave
Kutztown, PA 19530-9700

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (610) 944-0445

Other identifiers 3

IdentifierTypeStateIssuer
002682569OtherPAHIGHMARK BLUE SHIELD
100006375MedicaidPA
02328700OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Concern Prof Serv for Child135 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

50 Trexler Ave
Kutztown, PA 19530
Phone (610) 683-7346

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1124427349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "610-944-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TREXLER AVE",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195309700",
            "telephone_number": "610-944-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-944-0445"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "204150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "002682569",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006375",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02328700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kutztown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.