NPIMap

Organization Active NPI

Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Shenandoah, PA
National Provider Identifier
1780853994
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERAKEY PENNSYLVANIA
Practice address
224 N Bower St
Shenandoah, PA 17976-2636
Phone
(215) 836-3131
Fax
(215) 273-5975
NPI assigned
Feb 22, 2008
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. Norman E Tilson Jr.
Title
Corp Sr. Director of Business Ops
Phone
(215) 836-3131

Specialties & licenses 1

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

Addresses

Primary practice location

224 N Bower St
Shenandoah, PA 17976-2636

Mailing address

4391 Sturbridge Dr
Harrisburg, PA 17110-3673
Phone (215) 836-3131

Other identifiers 1

IdentifierTypeStateIssuer
1000017440175MedicaidPA

Other names 2

  • NHS Pennsylvania Former legal business name
  • Northwestern Human Services of PA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Merakey Pennsylvania81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4391 Sturbridge Dr
Harrisburg, PA 17110
Phone (717) 441-9457

224 N Bower St
Shenandoah, PA 17976
Phone (570) 462-2688

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1780853994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 STURBRIDGE DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103673",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N BOWER ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179762636",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKEY PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORP SR. DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "215-836-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017440175",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Northwestern Human Services of PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Northwestern Human Services of PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shenandoah, PA

Sources for this page

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