NPIMap

Organization Active NPI

Bethesda Childrens Home/LSS

  • Adolescent and Children Mental Health Clinic/Center
  • Meadville, PA
National Provider Identifier
1922186352
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
458860 Issued in PA
Legal business name
BETHESDA CHILDRENS HOME/LSS
Practice address
15487 State Highway 86
Meadville, PA 16335-5316
Phone
(814) 724-7510
Fax
(814) 724-8686
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Mr. Chad Dickson
Title
Director of Finance
Phone
(814) 724-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 458860 PA Primary

Addresses

Primary practice location

15487 State Highway 86
Meadville, PA 16335-5316

Mailing address

15487 State Highway 86
Meadville, PA 16335-5316
Phone (814) 724-7510

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Childrens Homelss2 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1922186352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15487 STATE HIGHWAY 86",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163355316",
            "telephone_number": "814-724-7510",
            "fax_number": "814-724-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15487 STATE HIGHWAY 86",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163355316",
            "telephone_number": "814-724-7510",
            "fax_number": "814-724-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA CHILDRENS HOME/LSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "814-724-7510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "458860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.