NPIMap

Organization Active NPI

Glenmaura Holdings, LLC

Doing business as Geisinger Behavioral Health Center Northeast

  • Psychiatric Hospital
  • Moosic, PA
National Provider Identifier
1942914924
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
GLENMAURA HOLDINGS, LLC
Doing business as
Geisinger Behavioral Health Center Northeast
Practice address
60 Glenmaura National Blvd
Moosic, PA 18507-2101
Phone
(215) 581-3820
NPI assigned
Jan 13, 2023
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Brian P. Farley
Title
Vice President and Secretary
Phone
(615) 861-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

60 Glenmaura National Blvd
Moosic, PA 18507-2101

Mailing address

4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000

Other names 1

  • Geisinger Behavioral Health Center Northeast Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230510003077 PA Part A Provider - Hospital 3173989456 Practice locations: Moosic, PA
O20230818001190 PA Part B Supplier - Clinic/Group Practice 3173989456 Receives reassigned benefits from 27 practitioners
Practice locations: Moosic, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942914924. Details of each certification follow.

Hospital certification: CCN 394059

Legal name
GLENMAURA HOLDINGS, LLC
Doing business as
GEISINGER BEHAVIORAL HEALTH CENTER NORTHEAST
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 18, 2023
Last certification
Oct 18, 2023
Beds
96
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 26, 2021 in DE
Enrollment address
60 Glenmaura National Blvd
Moosic, PA 18507-2101
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Geisinger Behavioral Health Center NortheastCCN 394059 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2285769Geisinger Behavioral HLTH Ctr NE60 Glenmaura National Boulevard, Moosic, PA 18507Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

60 Glenmaura National Blvd
Moosic, PA 18507
Phone (570) 301-5000

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVice President of Business Offic Jun 11, 2012
Todd S Young Individual Corporate OfficerVice President and Treasurer Oct 27, 2025
Iss Solutions, Inc. Organization, Danville, PA Corporation 5% Or Greater Direct Ownership Interest Mar 29, 2021 15%
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 26, 2021 85%
Acadia PA JV Holdings, LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 26, 2021 85%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Acadia JV Holdings LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 26, 2021 85%
Kelly Ann Ankenbrand Individual W-2 Managing EmployeeFacility Ceo Mar 6, 2023
Ginger Holdco, LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 26, 2021 85%
Debra K Osteen Individual Corporate OfficerPresident Jan 20, 2026

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1942914924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 ASPEN GROVE DR STE 900",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673134",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GLENMAURA NATIONAL BLVD",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185072101",
            "telephone_number": "215-581-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENMAURA HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geisinger Behavioral Health Center Northeast",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Geisinger Behavioral Health Center Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moosic, PA

Sources for this page

Verify at the official NPI Registry.