NPIMap

Organization Active NPI

Colonial Intermediate Unit 20

  • Adolescent and Children Mental Health Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1497273791
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
235100 Issued in PA
Legal business name
COLONIAL INTERMEDIATE UNIT 20
Practice address
1002 West Union Blvd
Bethlehem, PA 18018-3509
Phone
(610) 515-6439
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Dr. Christopher Wolfel, D. ED.
Title
Executive Director
Phone
(610) 252-5550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 235100 PA Primary

Addresses

Primary practice location

1002 West Union Blvd
Bethlehem, PA 18018-3509

Mailing address

6 Danforth Dr
Easton, PA 18045-7820
Phone (610) 515-6439

Other practice location 1

6 Danforth Dr
Easton, PA 18045-7820
Phone (610) 515-6439

Other identifiers 1

IdentifierTypeStateIssuer
1007544600003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Colonial Intermediate Unit 2044 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

1002 W Union Blvd
Bethlehem, PA 18018

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1497273791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DANFORTH DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457820",
            "telephone_number": "610-515-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WEST UNION BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183509",
            "telephone_number": "610-515-6439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Danforth Dr",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180457820",
            "country_code": "US",
            "telephone_number": "610-515-6439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLONIAL INTERMEDIATE UNIT 20",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "WOLFEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-252-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. ED."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "235100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007544600003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.