NPIMap

Organization Active NPI

Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Easton, PA
National Provider Identifier
1144820895
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES
Practice address
175 S 21St St
Easton, PA 18042-3835
Phone
(610) 691-0647
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Mr. Gordon H May
Title
Ceo/President
Phone
(610) 944-0445

Specialties & licenses 1

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

Addresses

Primary practice location

175 S 21St St
Easton, PA 18042-3835

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100006375MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000122 PA Part B Supplier - Clinic/Group Practice 2769659945 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wyomissing, PA; Wellsboro, PA; Easton, PA; Towanda, PA; Fleetwood, PA; Bethlehem, PA; Allentown, PA; Mansfield, PA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Concern-Professional Services for Children Youth Families135 organizations share this tax ID, including this one
Part of
Concern-Professional Services for Children Youth Families

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1144820895",
    "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",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423835",
            "telephone_number": "610-691-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH & FAMILIES",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "610-944-0445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006375",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.