Organization Active NPI

Greater Reading Mental Health Alliance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyomissing, PA
National Provider Identifier
1750677696
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
261QM0801X Issued in PA
Legal business name
GREATER READING MENTAL HEALTH ALLIANCE
Practice address
1234 Penn Ave
Wyomissing, PA 19610-2130
Phone
(610) 775-3000
Fax
(610) 775-4000
NPI assigned
Jun 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mr. Joseph Kozak
Title
Peer Support Director
Phone
(610) 775-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 261Q00000X PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 261QM0801X PA Primary

Addresses

Primary practice location

1234 Penn Ave
Wyomissing, PA 19610-2130

Mailing address

1234 Penn Ave
Wyomissing, PA 19610-2130
Phone (610) 775-3000

Other identifiers 1

IdentifierTypeStateIssuer
1026170300001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1234 Penn Ave
Wyomissing, PA 19610
Phone (610) 374-4282

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1750677696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102130",
            "telephone_number": "610-775-3000",
            "fax_number": "610-775-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102130",
            "telephone_number": "610-775-3000",
            "fax_number": "610-775-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER READING MENTAL HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "KOZAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PEER SUPPORT  DIRECTOR",
        "authorized_official_telephone_number": "610-775-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "261Q00000X",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "261QM0801X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026170300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.