Organization Active NPI

Bold Steps of PA LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harrisburg, PA
National Provider Identifier
1437881042
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BOLD STEPS OF PA LLC
Practice address
4755 Linglestown Rd Ste 402
Harrisburg, PA 17112-8547
Phone
(717) 341-6004
Fax
(717) 859-5674
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mr. Chaim Berger
Title
Ceo
Phone
(718) 686-8292

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4755 Linglestown Rd Ste 402
Harrisburg, PA 17112-8547

Mailing address

1642 63Rd St
Brooklyn, NY 11204-2744
Phone (718) 686-8292

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2281731Bold Steps of PA4755 Linglestown Rd, Suite 402-404, Harrisburg, PA 17112Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1437881042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 63RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042744",
            "telephone_number": "718-686-8292",
            "fax_number": "717-859-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 LINGLESTOWN RD STE 402",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171128547",
            "telephone_number": "717-341-6004",
            "fax_number": "717-859-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD STEPS OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-686-8292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.