Organization Active NPI

Independent Family Services

  • Community/Behavioral Health Agency
  • Johnstown, PA
National Provider Identifier
1629518899
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW127858 Issued in PA
Legal business name
INDEPENDENT FAMILY SERVICES
Practice address
636 Scalp Ave
Johnstown, PA 15904-1640
Phone
(814) 262-0007
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Miss Erica Erdley, LSW
Title
LSW
Phone
(814) 262-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW127858 PA Primary

Addresses

Primary practice location

636 Scalp Ave
Johnstown, PA 15904-1640

Mailing address

636 Scalp Ave
Johnstown, PA 15904-1640
Phone (814) 262-0007

National Provider Directory

National Provider Directory

Locations

636 Scalp Ave
Johnstown, PA 15904
Phone (814) 262-0007

Practitioners & affiliated clinicians

Practitioners 3

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": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1629518899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041640",
            "telephone_number": "814-262-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "ERDLEY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LSW",
        "authorized_official_telephone_number": "814-262-0007",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "SW127858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2017; 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.