NPIMap

Organization Active NPI

Carbon Monroe Pike MH DS

  • Community/Behavioral Health Agency
  • Stroudsburg, PA
National Provider Identifier
1437377553
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARBON MONROE PIKE MH DS
Practice address
732 Phillips St
Stroudsburg, PA 18360-2228
Phone
(570) 420-1900
Fax
(570) 517-5422
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Mrs. Sheila Theodorou
Title
Administrator
Phone
(570) 420-1900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

732 Phillips St
Stroudsburg, PA 18360-2228

Mailing address

724 Phillips St
Suite 202
Stroudsburg, PA 18360-2242
Phone (570) 420-1900

National Provider Directory

National Provider Directory
Tax ID family
Carbon-Monroe-Pike MHMR Program7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

732 Phillips St
Stroudsburg, PA 18360
Phone (570) 420-1900

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1437377553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 PHILLIPS ST",
            "address_2": "SUITE 202",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602242",
            "telephone_number": "570-420-1900",
            "fax_number": "570-517-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 PHILLIPS ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602228",
            "telephone_number": "570-420-1900",
            "fax_number": "570-517-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON MONROE PIKE MH DS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-420-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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 Apr 8, 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.