NPIMap

Organization Active NPI

Child and Family Support Servcies, Inc.

  • Community/Behavioral Health Agency
  • Douglassville, PA
National Provider Identifier
1619150844
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
213010 Issued in PA
Legal business name
CHILD AND FAMILY SUPPORT SERVCIES, INC.
Practice address
515 Old Swede Rd
2ND Floor
Douglassville, PA 19518-1208
Phone
(610) 376-8558
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Christos P. Eleftherios, PHD
Title
Ceo
Phone
(610) 376-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 213010 PA Primary

Addresses

Primary practice location

515 Old Swede Rd
2ND Floor
Douglassville, PA 19518-1208

Mailing address

4 S 4TH St
Reading, PA 19602-2820
Phone (610) 376-8558

Other identifiers 1

IdentifierTypeStateIssuer
1007782100008MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Child and Family Support Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

515 Old Swede Rd
Fl 2
Douglassville, PA 19518
Phone (610) 376-8558

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1619150844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S 4TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196022820",
            "telephone_number": "610-376-8558",
            "fax_number": "610-376-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 OLD SWEDE RD",
            "address_2": "2ND FLOOR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181208",
            "telephone_number": "610-376-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY SUPPORT SERVCIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ELEFTHERIOS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-376-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "213010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007782100008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.