The Light Program, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

THE LIGHT PROGRAM, INC.

Practice address

272 Hamlin Hwy
Moscow, PA 18444-7415

Phone

(814) 940-0407

NPI assigned

Jul 22, 2024

Organization subpart

Yes

Parent organization

THE LIGHT PROGRAMAs reported in NPPES

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

Authorized official

Name

Brenda Noel

Title

Contracts and Credentialing

Phone

(610) 644-6464

Specialties & licenses 1

Addresses

Other names 1

• Pyramid Health Care Former legal business name

Tax ID family

Light Program Inc2 organizations share this tax ID, including this one

Part of

Light Program Inc

Other organizations with this tax ID 1

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

• The Light Program, Inc.

  dba The Light Program

  • Mental Health Counselor
  • Paoli, PA
  • NPI 1396766333
  NPD tax ID

Locations

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.

• The Light Program, Inc.

  dba The Light Program

  • Mental Health Counselor
  • Paoli, PA
  • NPI 1396766333
  NPPES parent name

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1790513893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AMERICAN AVE STE 201",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064031",
            "telephone_number": "814-940-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HAMLIN HWY",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184447415",
            "telephone_number": "814-940-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIGHT PROGRAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LIGHT PROGRAM",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CONTRACTS AND CREDENTIALING",
        "authorized_official_telephone_number": "610-644-6464"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pyramid Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jordan J Sebastian, PHARM.D.
• Jay Joseph Sochoka, R.PH.
• Daniel James Sullivan III, D.D.S.
• Daniel James Sullivan, D.M.D.
• Amanda Lee Taylor, MS, NCC, LPC
• Megan E Timms, DPT
• Vital Link Chiropractic P.C.
• Kenneth Christopher Wilcha, DC

• Psychiatric Residential Treatment Facility in Moscow, PA
• Providers in Moscow, PA by specialty
• Psychiatric Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.