Organization Active NPI

American Care Network Clinic

  • Clinic/Center
  • Allentown, PA
National Provider Identifier
1336680941
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMERICAN CARE NETWORK CLINIC
Practice address
530 N 7TH St
Allentown, PA 18102-2802
Phone
(267) 554-7097
Fax
(267) 812-5414
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Mrs. Samira Seham Yasin
Title
Ceo
Phone
(267) 201-4019

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

530 N 7TH St
Allentown, PA 18102-2802

Mailing address

530 N 7TH St
Allentown, PA 18102-2802
Phone (610) 200-5121

Other identifiers 2

IdentifierTypeStateIssuer
1033691320001MedicaidPA
1033691320003MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL acnc.health@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1200 Veterans Hwy
#A6
Bristol, PA 19007

1200 Veterans Hwy
Ste A6
Bristol, PA 19007
Phone (610) 200-5121

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": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1336680941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 7TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022802",
            "telephone_number": "610-200-5121",
            "fax_number": "267-712-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 7TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022802",
            "telephone_number": "267-554-7097",
            "fax_number": "267-812-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARE NETWORK CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_middle_name": "SEHAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-201-4019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033691320001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033691320003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "acnc.health@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 N 7th St",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181022802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.