Organization Active NPI

Jewish Family Service of Greater Harrisburg

Doing business as Mynd Works

  • Specialist
  • Harrisburg, PA
National Provider Identifier
1649454075
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JEWISH FAMILY SERVICE OF GREATER HARRISBURG
Doing business as
Mynd Works
Practice address
3333 N Front St
Harrisburg, PA 17110
Phone
(717) 233-1681
Fax
(717) 234-8258
NPI assigned
Dec 20, 2007
Organization subpart
Yes
Parent organization
JEWISH FAMILY SERVICE OF GREATER HARRISBURGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Dr. Chudney Lewis
Title
Office Manager
Phone
(717) 233-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3333 N Front St
Harrisburg, PA 17110

Mailing address

3333 N Front St
Harrisburg, PA 17110-1436
Phone (717) 233-1681

Other practice location 1

207 House Ave
Suite 105B
Camp Hill, PA 17011-2308
Phone (717) 233-1681

Other names 1

  • Mynd Works Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service of Greater Harrisburg2 organizations share this tax ID, including this one
Part of
Jewish Family Service of Greater Harrisburg

Other organizations with this tax ID 1

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

Locations

207 House Ave
Ste 105B
Camp Hill, PA 17011
Phone (717) 233-1681

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1649454075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101436",
            "telephone_number": "717-233-1681",
            "fax_number": "717-234-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17110",
            "telephone_number": "717-233-1681",
            "fax_number": "717-234-8258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 House Ave",
            "address_2": "Suite 105B",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170112308",
            "country_code": "US",
            "telephone_number": "717-233-1681",
            "fax_number": "717-234-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF GREATER HARRISBURG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEWISH FAMILY SERVICE OF GREATER HARRISBURG",
        "enumeration_date": "2007-12-20",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHUDNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-233-1681",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mynd Works",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mynd Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.