NPIMap

Organization Active NPI

Child Guidance Resource Centers

  • Case Management Agency
  • Coatesville, PA
National Provider Identifier
1447502836
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
112610 Issued in PA
Legal business name
CHILD GUIDANCE RESOURCE CENTERS
Practice address
28 Chester Ave
Coatesville, PA 19320
Phone
(484) 454-8735
NPI assigned
Oct 9, 2012
Last updated
Jun 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Ms. Amy Meadows-Martella
Title
VP, Operations
Phone
(484) 454-8700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 112610 PA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 184890 PA
Community/Behavioral Health Agency 251S00000X 112610 PA

Addresses

Primary practice location

28 Chester Ave
Coatesville, PA 19320

Mailing address

2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone (484) 454-8735

Other identifiers 2

IdentifierTypeStateIssuer
112610MedicaidPA
100005940MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Resource Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

28 Chester Ave
Coatesville, PA 19320
Phone (484) 219-4416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1447502836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "484-454-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHESTER AVE",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "telephone_number": "484-454-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE RESOURCE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "MEADOWS-MARTELLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "484-454-8700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "112610",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "184890",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "112610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112610",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.