Organization Active NPI

Prism Mental Health Solutions Inc

  • Clinical Social Worker
  • Hastings, PA
National Provider Identifier
1144079757
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PRISM MENTAL HEALTH SOLUTIONS INC
Practice address
Prism Mental Health Solutions Inc
264 Haida Ave, Suite B1
Hastings, PA 16646-5611
Phone
(814) 515-3427
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Mrs. Chelsea Lynn Wade, LCSWNPI 1053082842
Title
Co-Founder
Phone
(814) 931-0417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

Prism Mental Health Solutions Inc
264 Haida Ave, Suite B1
Hastings, PA 16646-5611

Mailing address

264 Haida Avenue Suite B1
Hastings, PA 16646
Phone (814) 931-0417

Other names 1

  • Prism MHS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827004772 PA Part B Supplier - Clinic/Group Practice 1153860770 Receives reassigned benefits from 2 practitioners
Practice locations: Hastings, PA

National Provider Directory

National Provider Directory

Locations

264 Haida Ave
Ste B1
Hastings, PA 16646
Phone (814) 515-3427

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1144079757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 HAIDA AVENUE SUITE B1",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "16646",
            "telephone_number": "814-931-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRISM MENTAL HEALTH SOLUTIONS INC",
            "address_2": "264 HAIDA AVE, SUITE B1",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166465611",
            "telephone_number": "814-515-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM MENTAL HEALTH SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "814-931-0417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism MHS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prism MHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hastings, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.