NPIMap

Organization Active NPI

Hispanic American Organization

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Allentown, PA
National Provider Identifier
1629183264
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
212390 Issued in PA
Legal business name
HISPANIC AMERICAN ORGANIZATION
Practice address
462 W Walnut St.
Allentown, PA 18102
Phone
(610) 435-5334
Fax
(610) 435-2131
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Neville Homi Kotwal, MD
Title
Director
Phone
(610) 435-5334

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 206870 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 212390 PA Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

462 W Walnut St.
Allentown, PA 18102

Mailing address

462 W Walnut St.
Allentown, PA 18102
Phone (610) 435-5334

Other identifiers 2

IdentifierTypeStateIssuer
1001275120017MedicaidPA
1001275120004MedicaidPA

Other names 1

  • HAO Counseling Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040510000833 PA Part B Supplier - Clinic/Group Practice 5193714657 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

711 Chew St
Allentown, PA 18102
Phone (610) 351-2292

462 W Walnut St
Allentown, PA 18102
Phone (610) 351-2292

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1629183264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 W WALNUT ST.",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18102",
            "telephone_number": "610-435-5334",
            "fax_number": "610-435-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W WALNUT ST.",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18102",
            "telephone_number": "610-435-5334",
            "fax_number": "610-435-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC AMERICAN ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "KOTWAL",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_middle_name": "HOMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-435-5334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "206870",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "212390",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001275120017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001275120004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAO Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.