NPIMap

Organization Active NPI

Child and Family Support Services

  • Community/Behavioral Health Agency
  • Reading, PA
National Provider Identifier
1356525422
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
209300 Issued in PA
Legal business name
CHILD AND FAMILY SUPPORT SERVICES
Practice address
1455 Marion St.
12TH & Marion Elementary School
Reading, PA 19604
Phone
(610) 376-8558
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Christos P., Eleftherios, PHD
Title
Ceo
Phone
(610) 376-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 209300 PA Primary

Addresses

Primary practice location

1455 Marion St.
12TH & Marion Elementary School
Reading, PA 19604

Mailing address

4 S 4TH St
2ND Floor
Reading, PA 19602-2820
Phone (610) 376-8558

Other identifiers 1

IdentifierTypeStateIssuer
1007782100002MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Child and Family Support Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1356525422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "address_2": "2ND FLOOR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196022820",
            "telephone_number": "610-376-8558",
            "fax_number": "610-376-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MARION ST.",
            "address_2": "12TH & MARION ELEMENTARY SCHOOL",
            "city": "READING",
            "state": "PA",
            "postal_code": "19604",
            "telephone_number": "610-376-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "ELEFTHERIOS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "P.,",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-376-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "209300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782100002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.