NPIMap

Organization Active NPI

Cmsu Behavioral Health and Developmental Services

  • Community/Behavioral Health Agency
  • Danville, PA
National Provider Identifier
1548427107
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Practice address
507 E Market St
Danville, PA 17821-2009
Phone
(570) 275-4962
Fax
(570) 275-5754
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

507 E Market St
Danville, PA 17821-2009

Mailing address

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

Other practice location 1

277 E 7th St
Bloomsburg, PA 17815-2853
Phone (570) 275-4962

Other practice location 2

858 Sale Barn Rd
Middleburg, PA 17842-9091
Phone (570) 837-3102

Other identifiers 6

IdentifierTypeStateIssuer
1000020900080MedicaidPA
1000020900079MedicaidPA
1000020900082MedicaidPA
1000020900062MedicaidPA
1000020900064MedicaidPA
1000020900083MedicaidPA

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.

Locations

277 E 7th St
Bloomsburg, PA 17815
Phone (570) 275-4962

858 Sale Barn Rd
Middleburg, PA 17842
Phone (570) 837-3102

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1548427107",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E MARKET ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178212009",
            "telephone_number": "570-275-4962",
            "fax_number": "570-275-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178152853",
            "country_code": "US",
            "telephone_number": "570-275-4962",
            "fax_number": "570-275-5754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 Sale Barn Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178429091",
            "country_code": "US",
            "telephone_number": "570-837-3102",
            "fax_number": "570-075-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "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, BCD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900080",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900079",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900082",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900062",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900064",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900083",
            "state": "PA"
        }
    ],
    "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 Sep 8, 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.