NPIMap

Organization Active NPI

Family Service and Children'S Aid Society of Venango County

  • Community/Behavioral Health Agency
  • Titusville, PA
National Provider Identifier
1689047136
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
207019 Issued in PA
Legal business name
FAMILY SERVICE AND CHILDREN'S AID SOCIETY OF VENANGO COUNTY
Practice address
119 E Mechanic St Ste a
Titusville, PA 16354-2161
Phone
(814) 827-3649
Fax
(814) 827-0944
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Ms. Mary K Serafin
Title
Executive Director
Phone
(814) 677-4005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 207019 PA
Community/Behavioral Health Agency 251S00000X 207019 PA Primary

Addresses

Primary practice location

119 E Mechanic St Ste a
Titusville, PA 16354-2161

Mailing address

716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005

Other identifiers 1

IdentifierTypeStateIssuer
100001637MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Family Service and Children'S Aid Society of Venango County13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

119 E Mechanic St
#A
Titusville, PA 16354
Phone (814) 677-4005

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1689047136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E 2ND ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012330",
            "telephone_number": "814-677-4005",
            "fax_number": "814-677-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MECHANIC ST STE A",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542161",
            "telephone_number": "814-827-3649",
            "fax_number": "814-827-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AND CHILDREN'S AID SOCIETY OF VENANGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "SERAFIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-677-4005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "207019",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "207019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.