NPIMap

Organization Active NPI

Carbon Lehigh Intermediate Unit #21

  • Community/Behavioral Health Agency
  • Allentown, PA
National Provider Identifier
1356567804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
216230 Issued in PA
Legal business name
CARBON LEHIGH INTERMEDIATE UNIT #21
Practice address
750 Saint John St
Allentown, PA 18103-3262
Phone
(484) 765-5978
NPI assigned
Apr 17, 2007
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
Mr. Robert J. Keegan Jr.
Title
Executive Director
Phone
(610) 769-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 216230 PA Primary

Addresses

Primary practice location

750 Saint John St
Allentown, PA 18103-3262

Mailing address

4210 Independence Drive
Schnecksville, PA 18078-2580
Phone (610) 769-4111

Other identifiers 1

IdentifierTypeStateIssuer
1007731700003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Carbon Lehigh Intermediate 2136 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

750 Saint John St
Allentown, PA 18103
Phone (484) 765-5971

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356567804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 INDEPENDENCE DRIVE",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782580",
            "telephone_number": "610-769-4111",
            "fax_number": "610-769-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SAINT JOHN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033262",
            "telephone_number": "484-765-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON LEHIGH INTERMEDIATE UNIT #21",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-769-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "216230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007731700003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 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.