Organization Active NPI

Pinebrook Family Answers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allentown, PA
National Provider Identifier
1568647642
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PINEBROOK FAMILY ANSWERS
Doing business as
The Florence Child Guidance Center, Pinebrook Family Services
Practice address
402 N Fulton St
Allentown, PA 18102-2002
Phone
(610) 432-3919
Fax
(610) 432-5174
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Leslie Tenbroeck, LCSW
Title
Vice President
Phone
(610) 774-1434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

402 N Fulton St
Allentown, PA 18102-2002

Mailing address

402 N Fulton St
Allentown, PA 18102-2002
Phone (610) 432-3919

Other identifiers 2

IdentifierTypeStateIssuer
100759368 0012MedicaidPA
100759368 0009MedicaidPA

Other names 1

  • The Florence Child Guidance Center, Pinebrook Family Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1568647642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N FULTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022002",
            "telephone_number": "610-432-3919",
            "fax_number": "610-432-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N FULTON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181022002",
            "telephone_number": "610-432-3919",
            "fax_number": "610-432-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEBROOK FAMILY ANSWERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "TENBROECK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-774-1434",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759368 0012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759368 0009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Florence Child Guidance Center, Pinebrook Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.