Organization Active NPI

Self Lehigh Valley

  • Community/Behavioral Health Agency
  • Allentown, PA
National Provider Identifier
1821689332
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SELF LEHIGH VALLEY
Practice address
40 S 5TH St
Allentown, PA 18101-1622
Phone
(484) 661-3298
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Brenda Fernandez
Title
Founder/Executive Director
Phone
(484) 661-3298

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Voluntary or Charitable Agency 251V00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

40 S 5TH St
Allentown, PA 18101-1622

Mailing address

1243 S Jefferson St
Allentown, PA 18103-3867
Phone (484) 661-3298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1821689332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S JEFFERSON ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033867",
            "telephone_number": "484-661-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181011622",
            "telephone_number": "484-661-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF LEHIGH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "484-661-3298"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.