Lehigh Valley Community Mental Health Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

242960 Issued in PA

Legal business name

LEHIGH VALLEY COMMUNITY MENTAL HEALTH INC

Practice address

210 N 6TH St # 214
Allentown, PA 18102-4112

Phone

(610) 432-4356

Fax

(484) 221-9130

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Ann Chlebowski

Title

Ceo

Phone

(484) 221-9136

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1891836078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5349",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150349",
            "telephone_number": "484-221-9136",
            "fax_number": "484-221-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 6TH ST # 214",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181024112",
            "telephone_number": "610-432-4356",
            "fax_number": "484-221-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY COMMUNITY MENTAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "CHLEBOWSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-221-9136"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "242960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015772780004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY 65 COMPLETE",
            "identifier": "1549067",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lehigh Valley Center for Child and Family Development, LLC
• Lehigh Valley Center for Independent Living
• Lehigh Valley Center for Sight PC
• Lehigh Valley Community Mental Health Center Inc
• Lehigh Valley Community Mental Health Center, Inc
• Lehigh Valley Companion Care Homes LLC
• Lehigh Valley Diagnostic Imaging
• Lehigh Valley Endodontics LLC
• Lehigh Valley Endodontics-Allentown
• Lehigh Valley Eye Care Associates

• Mental Health Clinic/Center (Including Community Mental Health Center) in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.