Diakon Child, Family & Community Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

331610 Issued in PA

Legal business name

DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES

Practice address

435 W 4TH St
Williamsport, PA 17701-6001

Phone

(570) 322-7873

Fax

(570) 322-8026

NPI assigned

Apr 28, 2014

Organization subpart

No

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

Authorized official

Name

Deborah P White

Title

Dir of Adm Ops

Phone

(570) 322-7878

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Diakon Child Family and Community Ministries

  dba Diakon Behavioral Health Services

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1659787364

  O20141215000318

  Same enrollment
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1669882700

  O20141215000318

  Same enrollment
• Diakon Child, Family & Community Ministries

  dba Diakon Family Life Services Northeast

  • Mental Health Counselor
  • Topton, PA
  • NPI 1003222100

  O20141215000318

  Same enrollment
• Diakon Child, Family & Community Ministries

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • New Bloomfield, PA
  • NPI 1053721191

  O20141215000318

  Same enrollment
• Diakon Child, Family & Community Ministries

  • Community/Behavioral Health Agency
  • Lewisburg, PA
  • NPI 1265842413

  O20141215000318

  Same enrollment
• Diakon Child, Family and Community Ministries

  dba Diakon Family Life Service

  • Community/Behavioral Health Agency
  • Montoursville, PA
  • NPI 1467821207

  O20141215000318

  Same enrollment

Tax ID family

Diakon Child Family Community Ministries26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

• Diakon Child Family & Community Ministries

  dba Family Life Services

  • Community/Behavioral Health Agency
  • New Bloomfield, PA
  • NPI 1326437393
  NPD tax ID
• Diakon Child Family & Community Ministries

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • Montoursville, PA
  • NPI 1588017602
  NPD tax ID
• Diakon Child Family & Community Ministries

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1629488861
  NPD tax ID
• Diakon Child Family & Community Ministries

  • Case Manager/Care Coordinator
  • Kennett Square, PA
  • NPI 1760320667
  NPD tax ID
• Diakon Child Family and Community Ministries

  dba Diakon Behavioral Health Services

  • Foster Care Agency
  • Mechanicsburg, PA
  • NPI 1164876751
  NPD tax ID
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Williamsport, PA
  • NPI 1548631583
  NPD tax ID
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1669882700
  NPD tax ID
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Williamsport, PA
  • NPI 1821469867
  NPD tax ID
• Diakon Child, Family & Community

  dba Manatawny Adult Day Care Services

  • Developmentally Disabled Services Day Training Agency
  • Pottstown, PA
  • NPI 1093125163
  NPD tax ID
• Diakon Child, Family & Community

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • New Bloomfield, PA
  • NPI 1427468578
  NPD tax ID
• Diakon Child, Family & Community

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • Boiling Springs, PA
  • NPI 1689084741
  NPD tax ID
• Diakon Child, Family & Community Ministries

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • New Bloomfield, PA
  • NPI 1053721191
  NPD tax ID

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Crayton

  • Counselor
  • Mechanicsburg, PA
  • NPI 1194988485
  Medicare reassignment Care Compare group NPD
• Douglas R. Reed, M.D.

  • Psychiatry Physician
  • Williamsport, PA
  • NPI 1801830443
  Medicare reassignment Care Compare group NPD
• Claudia Jude Dewane

  • Clinical Social Worker
  • Mechanicsburg, PA
  • NPI 1245715143
  Medicare reassignment NPD
• Tracy Anne Ericson, LCSW

  • Clinical Social Worker
  • Mt Pleasant Mills, PA
  • NPI 1063600302

  Multi-Specialty

  Medicare reassignment NPD
• Muhammad Ikram, MD

  • Psychiatry Physician
  • Harrisburg, PA
  • NPI 1477731180
  Medicare reassignment NPD
• Bernadette Itle Crosby, LCSW

  • Clinical Social Worker
  • Williamsport, PA
  • NPI 1770513160
  Medicare reassignment NPD
• Jagadeesh K Moola, MD

  • Psychiatry Physician
  • Camp Hill, PA
  • NPI 1952307746
  Medicare reassignment NPD
• Wanda Louise O'Neill, LCSW

  • Clinical Social Worker
  • Williamsport, PA
  • NPI 1619131257
  Medicare reassignment NPD
• Faraz Ahmed Tyeb, D.O.

  • Psychiatry Physician
  • Ephrata, PA
  • NPI 1639458417
  Medicare reassignment NPD
• Ilene J Vangilder, LCSW

  • Social Worker
  • State College, PA
  • NPI 1679839765
  Medicare reassignment NPD
• Elkins Guzman

  • Psychiatry Physician
  • N Providence, RI
  • NPI 1679952451

  PA

  Medicare reassignment NPD
• Christopher A. Moser, L.S.W.

  • Social Worker
  • Williamsport, PA
  • NPI 1043253917
  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1861802035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W 4TH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016001",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177016038",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Court St",
            "address_purpose": "LOCATION",
            "city": "Picture Rocks",
            "state": "PA",
            "postal_code": "17762",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Central Ave",
            "address_purpose": "LOCATION",
            "city": "South Williamsport",
            "state": "PA",
            "postal_code": "177027284",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Percy St",
            "address_purpose": "LOCATION",
            "city": "South Williamsport",
            "state": "PA",
            "postal_code": "177027522",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 W Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "South Williamsport",
            "state": "PA",
            "postal_code": "177027507",
            "country_code": "US",
            "telephone_number": "570-322-7378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Hughesville",
            "state": "PA",
            "postal_code": "177371050",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Four Mile Dr",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177549584",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 Cemetery St",
            "address_purpose": "LOCATION",
            "city": "Hughesville",
            "state": "PA",
            "postal_code": "177371028",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Eldred St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012259",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Penn St",
            "address_purpose": "LOCATION",
            "city": "Muncy",
            "state": "PA",
            "postal_code": "177561209",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 New St",
            "address_purpose": "LOCATION",
            "city": "Muncy",
            "state": "PA",
            "postal_code": "177568273",
            "country_code": "US",
            "telephone_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Hays Lane",
            "address_2": "Lycoming Valley Middle School",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "17701",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Newberry St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177019144",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Route 973 East",
            "address_purpose": "LOCATION",
            "city": "Cogan Station",
            "state": "PA",
            "postal_code": "17728",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Willow St",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177541618",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177542023",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3790 State Rt. 87",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "17754",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 School Ln",
            "address_purpose": "LOCATION",
            "city": "Lairdsville",
            "state": "PA",
            "postal_code": "177429714",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Louisa St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177011615",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Loyalsock Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012829",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177014139",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2990 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177014197",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 Broad St",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177542283",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371236",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Loyalsock Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012829",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012169",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "fax_number": "570-322-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177012169",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177541904",
            "country_code": "US",
            "telephone_number": "570-322-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAKON CHILD, FAMILY & COMMUNITY MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIR OF ADM OPS",
        "authorized_official_telephone_number": "570-322-7878"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "331610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029202560001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102920256",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitede@diakon.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "435 W 4th St",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177016001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diakon Child Family and Community Ministries
• Diakon Child Family and Community Ministries
• Diakon Child, Family & Community Ministries (Diakon Family Life Services)
• Diakon Child, Family & Community Ministries (Diakon Family Life Services)
• Diakon Child, Family & Community Ministries
• Diakon Child,Family&Community Ministries
• Diakon Child,Family&Community Ministries
• Diakon Lutheran Social Ministries (Diakon Family Life Services)
• Diakon Lutheran Social Ministries (Diakon Family Life Services)
• Dice Surgical and Home Health Center, Inc.

• Community/Behavioral Health Agency in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.