NPIMap

Organization Active NPI

Lourdesmont Behavioral Health Services

  • Case Management Agency
  • Scranton, PA
National Provider Identifier
1851517304
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1420220 Issued in PA
Legal business name
LOURDESMONT BEHAVIORAL HEALTH SERVICES
Practice address
1327 Wyoming Ave
Scranton, PA 18509-2861
Phone
(570) 702-8360
Fax
(570) 702-8623
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mr. Sal Santoli, M.S.
Title
Coo
Phone
(570) 348-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1420220 PA Primary

Addresses

Primary practice location

1327 Wyoming Ave
Scranton, PA 18509-2861

Mailing address

1327 Wyoming Ave
Scranton, PA 18509-2861
Phone (570) 702-8360

Other identifiers 1

IdentifierTypeStateIssuer
1007283070006MedicaidPA

Other names 1

  • Good Shepherd Youth & Family Service of NBPA Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lourdesmont Behavioral Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1851517304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092861",
            "telephone_number": "570-702-8360",
            "fax_number": "570-702-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 WYOMING AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092861",
            "telephone_number": "570-702-8360",
            "fax_number": "570-702-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDESMONT BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SANTOLI",
        "authorized_official_first_name": "SAL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-348-6100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "1420220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007283070006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Youth & Family Service of NBPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.