NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Harrisburg, PA Inc

  • Community/Behavioral Health Agency
  • Harrisburg, PA
National Provider Identifier
1447301247
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
227076 Issued in PA
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA INC
Practice address
120 Willow Rd Ste B
Harrisburg, PA 17109-2602
Phone
(717) 657-4804
Fax
(717) 657-8683
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mrs. Kelly Gollick, MSW
Title
Executive Director
Phone
(717) 657-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 227076 PA Primary

Addresses

Primary practice location

120 Willow Rd Ste B
Harrisburg, PA 17109-2602

Mailing address

4800 Union Deposit Road
Harrisburg, PA 17111-3551
Phone (717) 657-4804

Other identifiers 1

IdentifierTypeStateIssuer
01853906MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Harrisburg PA Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

120 Willow Rd
Ste B
Harrisburg, PA 17109
Phone (717) 657-4804

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1447301247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 UNION DEPOSIT ROAD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113551",
            "telephone_number": "717-657-4804",
            "fax_number": "717-657-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WILLOW RD STE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092602",
            "telephone_number": "717-657-4804",
            "fax_number": "717-657-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG, PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GOLLICK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-657-4804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "227076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01853906",
            "state": "PA"
        }
    ],
    "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 Mar 18, 2024; 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.