NPIMap

Organization Active NPI

Northeast Community Crisis Unit

  • Adult Mental Health Clinic/Center
  • Nanticoke, PA
National Provider Identifier
1356462105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NORTHEAST COMMUNITY CRISIS UNIT
Doing business as
Northeast Community Crisis Unit
Practice address
126 N. Washington Street
Nanticoke, PA 18634
Phone
(570) 735-8195
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph H Knecht
Title
Ceo
Phone
(570) 552-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

126 N. Washington Street
Nanticoke, PA 18634

Mailing address

126 N. Washington Street
Nanticoke, PA 18634
Phone (570) 735-8195

Other identifiers 1

IdentifierTypeStateIssuer
001443176-0001MedicaidPA

Other names 1

  • Northeast Community Crisis Unit Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356462105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N. WASHINGTON STREET",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "18634",
            "telephone_number": "570-735-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N. WASHINGTON STREET",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "18634",
            "telephone_number": "570-735-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST COMMUNITY CRISIS UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNECHT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-552-3900"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001443176-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Community Crisis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nanticoke, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.