Holcomb Behavioral Health Systems

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOLCOMB BEHAVIORAL HEALTH SYSTEMS

Practice address

1011 Reed Ave
Suite 900
Wyomissing, PA 19610-2002

Phone

(610) 939-9999

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daryll Ellison Sr., MSC

Title

Mobil Therapist

Phone

(484) 824-9870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1285160101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 MOUNT LAUREL AVE",
            "city": "TEMPLE",
            "state": "PA",
            "postal_code": "195601562",
            "telephone_number": "484-824-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 REED AVE",
            "address_2": "SUITE 900",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102002",
            "telephone_number": "610-939-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLCOMB BEHAVIORAL HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "DARYLL",
        "authorized_official_title_or_position": "MOBIL THERAPIST",
        "authorized_official_telephone_number": "484-824-9870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MSC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Hine
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• Colin Thomas Hinkley, DMD
• Dorothy L Hoerr
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• Natasha Hoover
• Hope Behavioral Health LLC (Hope Behavioral Health)

• Community/Behavioral Health Agency in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.