Lehigh University Centennial School

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

375450 Issued in PA

Legal business name

LEHIGH UNIVERSITY CENTENNIAL SCHOOL

Practice address

2196 Avenue C
Bethlehem, PA 18017-2120

Phone

(610) 266-6500

Fax

(610) 266-7126

NPI assigned

Jun 29, 2007

Last updated

Aug 22, 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

Ms. Donna M Edwards

Title

Business Manager

Phone

(610) 266-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Centennial School Other name

Locations

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366649741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 AVENUE C",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172120",
            "telephone_number": "610-266-6500",
            "fax_number": "610-266-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 AVENUE C",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172120",
            "telephone_number": "610-266-6500",
            "fax_number": "610-266-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH UNIVERSITY CENTENNIAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-266-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "375450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01455892",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000049420015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Lehigh Valley Community Mental Health Center Inc

• Community/Behavioral Health Agency in Bethlehem, PA
• Providers in Bethlehem, 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 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.