Active NPI
Diversified Treatment Alternatives
- Respite Care
- Lewisburg, PA
National Provider Identifier
1851344527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 308000
- Legal business name
- DIVERSIFIED TREATMENT ALTERNATIVES
- Practice address
- 148 Fairfield Road
Lewisburg, PA 17837 - Phone
- (570) 524-9986
- Fax
- (570) 524-9973
- NPI assigned
- May 17, 2006
- 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
- Mr. Timothy J Kelleher, MA MED
- Title
- Administrator
- Phone
- (570) 524-9986
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 348770 | PA | |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 301960 | PA | |
| Respite Care | 385H00000X | 308000 | PA | Primary |
Addresses
Primary practice location
148 Fairfield Road
Lewisburg, PA 17837
Mailing address
148 Fairfield Road
Lewisburg, PA 17837
Phone (570) 524-9986
National Provider Directory
National Provider DirectoryLocations
148 Fairfield Rd
Lewisburg, PA 17837
Phone (570) 524-9986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1851344527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 FAIRFIELD ROAD",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-524-9986",
"fax_number": "570-524-9973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 FAIRFIELD ROAD",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-524-9986",
"fax_number": "570-524-9973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED TREATMENT ALTERNATIVES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KELLEHER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "570-524-9986",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA MED"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "PA",
"license": "348770",
"primary": false
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "PA",
"license": "301960",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "PA",
"license": "308000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.