Active NPI
Self Lehigh Valley
- Community/Behavioral Health Agency
- Allentown, PA
National Provider Identifier
1821689332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.