Brookville Behavioral Health Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BROOKVILLE BEHAVIORAL HEALTH INC.

Practice address

3 S Brady St Ste 205
Du Bois, PA 15801-2159

Phone

(814) 371-1088

Fax

(814) 371-4966

NPI assigned

Nov 6, 2006

Last updated

Nov 13, 2020By 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. Ronald Floyd Park Jr.

Title

Ceo

Phone

(814) 371-1088

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 20

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.

• Rojelle Lorraine Marie Williams, MD

  • Psychiatry Physician
  • Enola, PA
  • NPI 1164079323

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Janet Marie Keslar, CRNP

  • Nurse Practitioner
  • Punxsutawney, PA
  • NPI 1326306820
  Medicare reassignment Care Compare group
• Deena Laughlin, LCSW

  • Social Worker
  • Du Bois, PA
  • NPI 1063815405
  Medicare reassignment Care Compare group
• Sean Francis Dwyer, LCSW

  • Clinical Social Worker
  • Clearfield, PA
  • NPI 1659494540
  Medicare reassignment NPD
• Elizabeth Weber, MSW, LCSW

  • Clinical Social Worker
  • Philipsburg, PA
  • NPI 1376765669
  Medicare reassignment NPD
• Julie Yenzi

  • Psychiatric/Mental Health Nurse Practitioner
  • Du Bois, PA
  • NPI 1497363733
  Medicare reassignment NPD
• Karen Day, LPC

  • Mental Health Counselor
  • Punxsutawney, PA
  • NPI 1760097430
  NPD
• Shannon R Lange, LPC

  • Professional Counselor
  • Du Bois, PA
  • NPI 1023764073
  NPD
• Jacob Penvose, LPC

  • Professional Counselor
  • Du Bois, PA
  • NPI 1306469937
  NPD
• Deanna Sebastian, LPC

  • Mental Health Counselor
  • Brookville, PA
  • NPI 1679227631
  NPD
• Gregory Volpe, MSW

  • Social Worker
  • Du Bois, PA
  • NPI 1366203275
  NPD
• Christina Clare Black, LCSW

  • Clinical Social Worker
  • Du Bois, PA
  • NPI 1558701003
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1326117359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088",
            "fax_number": "814-371-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S BRADY ST STE 205",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012159",
            "telephone_number": "814-371-1088",
            "fax_number": "814-371-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W Mahoning St",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157672017",
            "country_code": "US",
            "telephone_number": "814-618-5829",
            "fax_number": "814-618-5947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 East 3rd Street",
            "address_purpose": "LOCATION",
            "city": "Emporium",
            "state": "PA",
            "postal_code": "15834",
            "country_code": "US",
            "telephone_number": "814-486-0217",
            "fax_number": "814-486-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8912 Clearfield Curwensville Hwy",
            "address_purpose": "LOCATION",
            "city": "Clearfield",
            "state": "PA",
            "postal_code": "168303520",
            "country_code": "US",
            "telephone_number": "814-205-4164",
            "fax_number": "814-205-4032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Allegheny Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "PA",
            "postal_code": "158252326",
            "country_code": "US",
            "telephone_number": "814-849-2844",
            "fax_number": "814-849-3425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKVILLE BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-371-1088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "423220",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Pathways Counseling, P. C.
• Erin Elizabeth Brink
• Renee Britton, RN
• Shaina Brocious, MS
• Jemma Noelle Brooks
• Kristina Flora Brown, D.O.
• Laura Brown, LCSW
• William G Brown, PA
• Kristy Lynn Brownlee, CNM
• Joseph Michael Brun, CRNA

• Community/Behavioral Health Agency in Du Bois, PA
• Providers in Du Bois, 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 Nov 13, 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.