Cameron Elk Counties Behavioral and Developmental Programs

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

16270811 Issued in PA

Legal business name

CAMERON ELK COUNTIES BEHAVIORAL AND DEVELOPMENTAL PROGRAMS

Practice address

94 Hospital St
Fourth Floor
Ridgway, PA 15853-1931

Phone

(814) 772-8016

Fax

(814) 772-8337

NPI assigned

Jun 12, 2007

Organization subpart

No

Name

Ms. Kathleen Kroeger

Title

Administrator

Phone

(814) 772-8016

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

• Cameron Elk Counties Behavioral and Developmental Programs

  • Case Manager/Care Coordinator
  • Ridgway, PA
  • NPI 1518180199
  NPD tax ID

Tax ID family

Cameron Elk Counties Behavioral and Developmental Programs (2 organizations share this tax ID)

Locations

• Cameron Elk Counties MHMR Program Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2015.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1376747667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 HOSPITAL ST",
            "address_2": "FOURTH FLOOR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531931",
            "telephone_number": "814-772-8016",
            "fax_number": "814-772-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 HOSPITAL ST",
            "address_2": "FOURTH FLOOR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158531931",
            "telephone_number": "814-772-8016",
            "fax_number": "814-772-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON ELK COUNTIES BEHAVIORAL AND DEVELOPMENTAL PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-772-8016",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "16270811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Elk Counties MHMR Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Rae Brazinski, CRNP
• Lindsey Brendel, CCC-SLP/L
• Patricia R Brendel, RN
• Catherine Rose Brigger, CRNP
• Rebecca Burkert-Smith, PHARMD.
• Cameron Elk Counties Behavioral and Developmental Programs
• Center for Community Resources, Inc.
• Angela Nikol Chew, LCSW
• Nikol Chew, LCSW
• David Cicione

• All providers in Ridgway, PA
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.