Childrens Behavioral Health Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHILDRENS BEHAVIORAL HEALTH SERVICES, INC.

Practice address

104 Woodward Hill Rd
Edwardsville, PA 18704-2347

Phone

(570) 714-7230

Fax

(570) 714-7231

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Susanne Hurd

Title

Coo

Phone

(570) 714-7230

Specialties & licenses 1

Addresses

Tax ID family

Childrens Behavioral Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Childrens Behavioral Health Services, Inc.

  • Exclusive Provider Organization
  • Edwardsville, PA
  • NPI 1700916517
  NPD tax ID

Locations

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1881297141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODWARD HILL RD",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187042347",
            "telephone_number": "570-714-7230",
            "fax_number": "570-714-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODWARD HILL RD",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187042347",
            "telephone_number": "570-714-7230",
            "fax_number": "570-714-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-714-7230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Pain Management, PC
• Aman Ali, MD
• Albert J Antonello, D.C.
• Thomas J Castellano, MD
• Childrens Behavioral Health Services, Inc.
• Kristen Leigh Clare, OTR
• Clem-Mar House, Inc.
• Clem-Mar House, Inc.
• Commonwealth Pain and Wellness Center LLC
• Kristy Dante, LPC

• Community/Behavioral Health Agency in Edwardsville, PA
• Providers in Edwardsville, 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 Nov 19, 2020; 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.