NPIMap

Organization Active NPI

Children'S Center for Treatment and Education

  • Psychiatric Residential Treatment Facility
  • Bradford, PA
National Provider Identifier
1609165083
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
457250 Issued in PA
Legal business name
CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Practice address
800 East Main Street
Bradford, PA 16701-3278
Phone
(814) 817-1400
Fax
(814) 817-1447
NPI assigned
Apr 6, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Bridget V Mangold
Title
Controller
Phone
(814) 817-1400

National Provider Directory

National Provider Directory
Tax ID family
Beacon Light Behavioral Health System14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 457250 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

800 East Main Street
Bradford, PA 16701-3278

Mailing address

800 East Main Street
Bradford, PA 16701-3278
Phone (814) 817-1400

Other names 1

NPPES NPI Registry
  • Beacon Light Behavioral Health System Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2016.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1609165083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST MAIN STREET",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013278",
            "telephone_number": "814-817-1400",
            "fax_number": "814-817-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST MAIN STREET",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013278",
            "telephone_number": "814-817-1400",
            "fax_number": "814-817-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CENTER FOR TREATMENT AND EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "814-817-1400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "457250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Light Behavioral Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.