Active NPI
Childrens Behavioral Health, LLC
Doing business as Clarvida
- Community/Behavioral Health Agency
- Johnstown, PA
National Provider Identifier
1619949948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 302310
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561494 | Other | PA | VALUE BEHAVIORAL HEALTH |
| 100749414 | Medicaid | PA | |
| 101273408 | Medicaid | PA | |
| VC0572 | Medicaid | PA |
Other names 1
- Clarvida
National Provider Directory
National Provider DirectoryLocations
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.
-
- Behavior Analyst
- Johnstown, PA
- NPI 1720759707
-
- Behavior Analyst
- Johnstown, PA
- NPI 1114696374
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
- Christine Mary Charney, M.A.
- Brandon Cheskiewicz, PHARMD
- Karly Chesla, CRNP
- CHI Parkhill Medical Center (Conemaugh Health Initiatives)
- Children's Paraclete
- Chiropractic and Functional Neurology of Western Pennsylvania (Cortex Chiropractic & Clinical Neuroscience)
- Doo W Cho, MD.
- Ruth N Cho, D.O.
- Elizabeth Chobany
- Choice Home Dialysis,LLC (Choice Home Dialysis)
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.