NPIMap

Organization Active NPI

Concern-Professional Services for Children, Youth, & Families

  • Community/Behavioral Health Agency
  • Lewisburg, PA
National Provider Identifier
1518259795
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
218440 Issued in PA
Legal business name
CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH, & FAMILIES
Practice address
434 Market St
Suite 205
Lewisburg, PA 17837-2403
Phone
(570) 522-0990
NPI assigned
May 6, 2011
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Mr. Gordon H. May
Title
Director of Behavioral Health
Phone
(610) 944-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 218440 PA Primary

Addresses

Primary practice location

434 Market St
Suite 205
Lewisburg, PA 17837-2403

Mailing address

1 W Main St
Fleetwood, PA 19522-1323
Phone (610) 944-0445

Other identifiers 1

IdentifierTypeStateIssuer
100006375MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Concern-Professional Services for Children Youth Families135 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

434 Market St
Ste 205
Lewisburg, PA 17837
Phone (570) 522-0990

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1518259795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MAIN ST",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195221323",
            "telephone_number": "610-944-0445",
            "fax_number": "610-944-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MARKET ST",
            "address_2": "SUITE 205",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178372403",
            "telephone_number": "570-522-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERN-PROFESSIONAL SERVICES FOR CHILDREN, YOUTH, & FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "610-944-0445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "218440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006375",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.