NPIMap

Organization Active NPI

Universal Community Behavioral Health

  • Psychiatric Hospital
  • Yeagertown, PA
National Provider Identifier
1497014385
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
RN600285 Issued in PA
Legal business name
UNIVERSAL COMMUNITY BEHAVIORAL HEALTH
Practice address
25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone
(717) 248-8197
Fax
(717) 248-6449
NPI assigned
May 11, 2012
Last updated
May 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Ms. Shari Jean Bolling, RN
Title
RN
Phone
(717) 248-8197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X RN600285 PA Primary

Addresses

Primary practice location

25 Rothermel Dr
Yeagertown, PA 17099-9707

Mailing address

25 Rothermel Dr
Yeagertown, PA 17099-9707
Phone (717) 248-8197

National Provider Directory

National Provider Directory
Tax ID family
Rocco Manfredi MD34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1497014385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROTHERMEL DR",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999707",
            "telephone_number": "717-248-8197",
            "fax_number": "717-248-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROTHERMEL DR",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "170999707",
            "telephone_number": "717-248-8197",
            "fax_number": "717-248-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL COMMUNITY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "717-248-8197",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "RN600285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yeagertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.