NPIMap

Organization Active NPI

Cmsu Behavioral Health and Developmental Services

  • Case Management Agency
  • Danville, PA
National Provider Identifier
1497159784
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Practice address
1605 Bloom Rd
Suite # 1
Danville, PA 17821-8506
Phone
(570) 275-6080
Fax
(570) 275-6089
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mr. Richard Delos Beach, LCSW
Title
Administrator
Phone
(570) 275-5422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1605 Bloom Rd
Suite # 1
Danville, PA 17821-8506

Mailing address

PO Box 219
Danville, PA 17821-0219
Phone (570) 275-5422

National Provider Directory

National Provider Directory
Tax ID family
Cmsu Behavioral Health and Developmental Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1497159784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178210219",
            "telephone_number": "570-275-5422",
            "fax_number": "570-275-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BLOOM RD",
            "address_2": "SUITE # 1",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218506",
            "telephone_number": "570-275-6080",
            "fax_number": "570-275-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DELOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-275-5422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.