NPIMap

Organization Active NPI

Kidspeace Children's Hospital, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Mount Pocono, PA
National Provider Identifier
1851864979
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
KIDSPEACE CHILDREN'S HOSPITAL, INC.
Practice address
1151 Pocono Blvd Ste 2
Mount Pocono, PA 18344-1033
Phone
(570) 243-8787
Fax
(570) 243-8797
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Karissa Hunsicker
Title
Contrat Specialist
Phone
(610) 799-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

1151 Pocono Blvd Ste 2
Mount Pocono, PA 18344-1033

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-7331

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace Childrens Hospital22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1851864979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-7331",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 POCONO BLVD STE 2",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441033",
            "telephone_number": "570-243-8787",
            "fax_number": "570-243-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE CHILDREN'S HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "HUNSICKER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "CONTRAT SPECIALIST",
        "authorized_official_telephone_number": "610-799-7331"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.