Organization Active NPI

Premier Behavioral Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1396446860
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PREMIER BEHAVIORAL HEALTH SERVICES PLLC
Practice address
18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630
Phone
(570) 213-9133
Fax
(570) 209-8806
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Erica Cherie Lyden, CRNPNPI 1073197786
Title
Owner
Phone
(570) 213-9133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630

Mailing address

18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630
Phone (570) 213-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230607001770 PA Part B Supplier - Clinic/Group Practice 8022475052 Receives reassigned benefits from 1 practitioner
Practice locations: Stroudsburg, PA

National Provider Directory

National Provider Directory

Locations

18 S 9th St
Ste 107
Stroudsburg, PA 18360
Phone (570) 213-9133

814 Monroe St
Ste 201
Stroudsburg, PA 18360
Phone (570) 213-9133

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1396446860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S 9TH ST STE 107",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601630",
            "telephone_number": "570-213-9133",
            "fax_number": "570-209-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S 9TH ST STE 107",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601630",
            "telephone_number": "570-213-9133",
            "fax_number": "570-209-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "LYDEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CHERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-213-9133",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.