NPIMap

Organization Active NPI

Haven House

  • Adult Mental Health Clinic/Center
  • Allentown, PA
National Provider Identifier
1689670507
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
211340 Issued in PA
Legal business name
HAVEN HOUSE
Practice address
1411 Union Blvd
Allentown, PA 18109-2423
Phone
(610) 433-6181
Fax
(610) 433-5124
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Amanda Melissa Dunsing
Title
Fiscal Manager
Phone
(484) 387-1719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 211340 PA Primary

Addresses

Primary practice location

1411 Union Blvd
Allentown, PA 18109-2423

Mailing address

1411 Union Blvd
Allentown, PA 18109-2423
Phone (610) 433-6181

Other identifiers 5

IdentifierTypeStateIssuer
1007763130006MedicaidPA
260526000OtherPAMCO PROVIDER NUMBER
1007763130009MedicaidPA
1007763130007MedicaidPA
1007763130005MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000142 PA Part B Supplier - Clinic/Group Practice 3476536780 Receives reassigned benefits from 11 practitioners
Practice locations: Allentown, PA

National Provider Directory

National Provider Directory

Locations

1530 Hanover Ave
Allentown, PA 18109
Phone (610) 433-6181

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1689670507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181",
            "fax_number": "610-433-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181",
            "fax_number": "610-433-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "DUNSING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "484-387-1719"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "211340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007763130006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCO PROVIDER NUMBER",
            "identifier": "260526000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007763130009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007763130007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007763130005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 24, 2026; 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.