NPIMap

Organization Active NPI

Cmsu Behavioral Health and Developmental Services

  • Community/Behavioral Health Agency
  • Middleburg, PA
National Provider Identifier
1801029269
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
327200 Issued in PA
Legal business name
CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES
Practice address
848 Sale Barn Rd
Middleburg, PA 17842
Phone
(570) 565-7163
NPI assigned
Sep 1, 2009
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Mr. Richard Delos Beach, LCSW, BCD
Title
Administrator
Phone
(570) 275-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 327200 PA Primary

Addresses

Primary practice location

848 Sale Barn Rd
Middleburg, PA 17842

Mailing address

PO Box 219
Danville, PA 17821-0219
Phone (570) 275-5422

Other practice location 1

848 Sale Barn Rd
Middleburg, PA 17842-9091
Phone (570) 565-7163

Other identifiers 1

IdentifierTypeStateIssuer
1000020900076MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Cmsu Behavioral Health and Developmental Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1801029269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178210219",
            "telephone_number": "570-275-5422",
            "fax_number": "570-275-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 SALE BARN RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "17842",
            "telephone_number": "570-565-7163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 Sale Barn Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178429091",
            "country_code": "US",
            "telephone_number": "570-565-7163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DELOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-275-5422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "327200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000020900076",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.