NPIMap

Organization Active NPI

Adelphoi Village

  • Community/Behavioral Health Agency
  • Latrobe, PA
National Provider Identifier
1508983289
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
423910 Issued in PA
Legal business name
ADELPHOI VILLAGE
Practice address
1119 Village Way
Latrobe, PA 15650
Phone
(724) 520-1111
Fax
(724) 520-1878
NPI assigned
Mar 26, 2007
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Michelle Leigh Hershberger
Title
Revenue Cycle Manager
Phone
(724) 804-7193

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 423910 PA
Clinic/Center 261Q00000X 423910 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 423910 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 423910 PA
Psychiatric Residential Treatment Facility 323P00000X 423910 PA
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Psychologist 103T00000X 423910 PA
Marriage & Family Therapist 106H00000X
Forensic Psychiatry Physician 2084F0202X 423910 PA
Neurology Physician 2084N0400X 423910 PA
Neurodevelopmental Disabilities Physician 2084P0005X 423910 PA
Community/Behavioral Health Agency 251S00000X 423910 PA Primary
Health Psychologist 103TH0004X

Addresses

Primary practice location

1119 Village Way
Latrobe, PA 15650

Mailing address

1119 Village Way
Latrobe, PA 15650
Phone (724) 520-1111

National Provider Directory

National Provider Directory
Tax ID family
Adelphoi Village6 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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1508983289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 VILLAGE WAY",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 VILLAGE WAY",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-520-1111",
            "fax_number": "724-520-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELPHOI VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "724-804-7193"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "PA",
            "license": "423910",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "423910",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.