Organization Active NPI

Childrens Behavioral Health, LLC

Doing business as Clarvida

  • Community/Behavioral Health Agency
  • Johnstown, PA
National Provider Identifier
1619949948
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
302310 Issued in PA
Legal business name
CHILDRENS BEHAVIORAL HEALTH, LLC
Doing business as
Clarvida
Practice address
321 Main St Ste 3C&3G
Johnstown, PA 15901-1632
Phone
(814) 262-0768
Fax
(814) 262-0795
NPI assigned
Feb 2, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Ms. Renee McQuillen
Title
Assistant Director of Operations
Phone
(814) 241-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 302310 PA Primary

Addresses

Primary practice location

321 Main St Ste 3C&3G
Johnstown, PA 15901-1632

Mailing address

321 Main St Ste 3C&3G
Johnstown, PA 15901-1632
Phone (814) 262-0768

Other identifiers 4

IdentifierTypeStateIssuer
561494OtherPAVALUE BEHAVIORAL HEALTH
100749414MedicaidPA
101273408MedicaidPA
VC0572MedicaidPA

Other names 1

  • Clarvida Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Broad St
Ste 210
Johnstown, PA 15906
Phone (814) 262-0768

Practitioners & affiliated clinicians

Practitioners 2

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": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1619949948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST STE 3C&3G",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-262-0768",
            "fax_number": "814-262-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST STE 3C&3G",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-262-0768",
            "fax_number": "814-262-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MCQUILLEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "814-241-6556",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "302310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "561494",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749414",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101273408",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VC0572",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.