Individual provider Active NPI

Courtney Huston Chellew, DO

  • Child & Adolescent Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1841592870
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
OS017530 Issued in PA
Practice address
2545 Schoenersville Road
LVH-M South 5TH Floor
Bethlehem, PA 18017-7300
Phone
(484) 884-6503
Fax
(484) 884-6504
NPI assigned
Nov 24, 2010
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS017530 PA
Child & Adolescent Psychiatry Physician 2084P0804X OS017530 PA Primary

Addresses

Primary practice location

2545 Schoenersville Road
LVH-M South 5TH Floor
Bethlehem, PA 18017-7300

Mailing address

1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323
Phone (610) 969-1914

Other practice location 1

2710 Schoenersville Rd
Bethlehem, PA 18017-3574
Phone (610) 297-7500

Other practice location 2

2545 Schoenersville Road
Westgate 5th Floor
Bethlehem, PA 18017-7300
Phone (484) 884-6503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624000091 PA Practitioner - Psychiatry 5193036788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017530PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 8, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 8, 2015 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

2545 Schoenersville Rd
Fl 5
Bethlehem, PA 18017
Phone (484) 884-6500

2710 Schoenersville Rd
Bethlehem, PA 18017
Phone (610) 297-7500

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1841592870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N CEDAR CREST BLVD STE 411",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042323",
            "telephone_number": "610-969-1914",
            "fax_number": "610-969-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 SCHOENERSVILLE ROAD",
            "address_2": "LVH-M SOUTH 5TH FLOOR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177300",
            "telephone_number": "484-884-6503",
            "fax_number": "484-884-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Schoenersville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180173574",
            "country_code": "US",
            "telephone_number": "610-297-7500",
            "fax_number": "610-297-7533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 Schoenersville Road",
            "address_2": "Westgate 5th Floor",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180177300",
            "country_code": "US",
            "telephone_number": "484-884-6503",
            "fax_number": "484-884-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHELLEW",
        "first_name": "COURTNEY",
        "middle_name": "HUSTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS017530",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS017530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.