Berks Behavioral Health, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

220620 Issued in PA

Legal business name

BERKS BEHAVIORAL HEALTH, LLC

Doing business as

The Berkshire Pavilion

Practice address

145 N 6TH St
Reading, PA 19601-3096

Phone

(610) 378-2365

NPI assigned

May 20, 2008

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garry W Hoyes

Title

Ceo/President

Phone

(202) 955-3990

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• The Berkshire Pavilion Doing business as

Tax ID family

Haven Behav SVCS of Reading3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Haven Behavioral Services of Reading, LLC

  dba Haven Behavioral Hospital of Eastern Pennsylvania

  • Psychiatry Physician
  • Reading, PA
  • NPI 1649754540
  NPD tax ID
• Haven Behavioral Services Or Reading, LLC

  dba Haven Behavioral Hospital of Eastern Pennsylvania Outpatient

  • Adult Mental Health Clinic/Center
  • Reading, PA
  • NPI 1518275759
  NPD tax ID

Locations

Practitioners 6

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.

• Jeffrey Joseph Leoni, PSY.D.

  • Clinical Psychologist
  • Wyomissing, PA
  • NPI 1760499297
  NPD (past)
• Mark A Putnam, MD

  • Psychiatry Physician
  • Wyomissing, PA
  • NPI 1558300244
  NPD (past)
• Doreen R Storz, PA-C, LCSW

  • Physician Assistant
  • Wyomissing, PA
  • NPI 1821038829
  NPD (past)
• Daniel S Sullum, MD

  • Psychiatry Physician
  • Reading, PA
  • NPI 1831139831
  NPD (past)
• Christine M Wasser, LCSW

  • Clinical Social Worker
  • Reading, PA
  • NPI 1598715153
  NPD (past)
• Nikhat Yasmeen, M.D.

  • Psychiatry Physician
  • Phila, PA
  • NPI 1588616718
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1518124205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CATHEDRAL AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200083410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013096",
            "telephone_number": "610-378-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "HOYES",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "202-955-3990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "220580",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "220610",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "220620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PHYSICIAN GROUP",
            "identifier": "102249372-0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B PTAN",
            "identifier": "131695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OUTPATIENT PSYCHIATRIC CLINIC",
            "identifier": "102249372-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PARTIAL PSYCHIATRIC HOSPITAL",
            "identifier": "102249372-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INPATIENT PSYCHIATRIC HOSPITAL",
            "identifier": "102249372-0004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A PTAN",
            "identifier": "394052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Berkshire Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olga Bennett, CRNP
• Marilyn Bereski
• Ashley Berg
• Jessica Marie Berglund, RD, LDN
• Berks Advocates Against Violence
• Berks Community Health Center (Berks Community Health Center Pharmacy)
• Berks Community Health Center
• Berks Community Health Center
• Berks Community Health Center
• Berks Community Health Center

• Psychiatric Hospital in Reading, PA
• Providers in Reading, PA by specialty
• Psychiatric Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.