NPIMap

Organization Active NPI

Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Carbondale, PA
National Provider Identifier
1891930566
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MERAKEY PENNSYLVANIA
Practice address
30 North Main Street
Carbondale, PA 18407-2304
Phone
(215) 836-3131
Fax
(215) 273-5975
NPI assigned
Dec 10, 2008
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Mr. Norman E Tilson
Title
Corp Sr. Director of Business Ops
Phone
(215) 836-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

30 North Main Street
Carbondale, PA 18407-2304

Mailing address

4251 Crums Mill Rd
Harrisburg, PA 17112-2824
Phone (215) 836-3131

Other names 2

  • NHS Pennsylvania Former legal business name
  • NHS Human Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000719 PA Part B Supplier - Clinic/Group Practice 9032199856 Receives reassigned benefits from 14 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stroudsburg, PA; Pottsville, PA; Pittsburgh, PA; Nazareth, PA; Mount Pocono, PA; Montrose, PA; Honesdale, PA; Harrisburg, PA…

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Merakey Pennsylvania81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1891930566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 CRUMS MILL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122824",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTH MAIN STREET",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184072304",
            "telephone_number": "215-836-3131",
            "fax_number": "215-273-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKEY PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CORP SR. DIRECTOR OF BUSINESS OPS",
        "authorized_official_telephone_number": "215-836-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NHS Pennsylvania",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NHS Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.