Lourdesmont Behavioral Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LOURDESMONT BEHAVIORAL HEALTH SERVICES

Practice address

537 Venard Rd
Clarks Summit, PA 18411-1249

Phone

(570) 587-4741

Fax

(570) 586-0030

NPI assigned

Apr 17, 2007

Last updated

May 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sal Santoli, M.S.

Title

Coo

Phone

(570) 348-6100

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Lourdesmont Good Shepherd Former legal business name

Tax ID family

Lourdesmont Behavioral Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Lourdesmont Behavioral Health Services

  • Community/Behavioral Health Agency
  • Scranton, PA
  • NPI 1235436551
  NPD tax ID
• Lourdesmont Behavioral Health Services

  • Community/Behavioral Health Agency
  • Scranton, PA
  • NPI 1710103254
  NPD tax ID
• Lourdesmont Behavioral Health Services

  • Case Management Agency
  • Scranton, PA
  • NPI 1851517304
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kay Frances Altavilla, LCSW

  • Clinical Social Worker
  • South Abington Township, PA
  • NPI 1306018015
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1801012349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092861",
            "telephone_number": "570-702-8360",
            "fax_number": "570-702-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 VENARD RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111249",
            "telephone_number": "570-587-4741",
            "fax_number": "570-586-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDESMONT BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "SANTOLI",
        "authorized_official_first_name": "SAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-348-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007283070009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdesmont Good Shepherd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan D Levin, MA, LPC, NCC, CCMHC
• Caitlin Libby, DDS
• Timothy Lionetti, PH.D.
• John Lisiak Jr., D.O.
• Loh Enterprises, LLC
• Luchansky Psychological Services LLC
• Christine Ludka
• Luminara Integrative Psychiatry
• William Arthur Macnamara, D.D.S.
• Kelsey A Madden, CRNP

• Community/Behavioral Health Agency in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.