Keystone Autism Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

331960 Issued in PA

Legal business name

KEYSTONE AUTISM SERVICES

Practice address

124 Pine St
Harrisburg, PA 17101-1208

Phone

(717) 232-7509

Fax

(717) 232-6687

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles Hooker

Title

Ceo

Phone

(717) 232-7509

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1811186208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PINE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011208",
            "telephone_number": "717-232-7509",
            "fax_number": "717-232-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 PINE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011208",
            "telephone_number": "717-232-7509",
            "fax_number": "717-232-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "HOOKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-232-7509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "331960",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "PA",
            "license": "2953440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020600830001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020600830003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020600830006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020600830004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Patty Keys
• Keystone Hearing Institute
• Keystone Home Care LLC
• Keystone Passionate Care, LLC
• Keystone Peer Review Organization, Inc. (Kepro)
• Keystone Pharmacy

• Community/Behavioral Health Agency in Harrisburg, PA
• Providers in Harrisburg, 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 Nov 4, 2015; 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.