NPIMap

Organization Active NPI

Colonial Intermediate Unit 20

  • Adolescent and Children Mental Health Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1952635450
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
235100 Issued in PA
Legal business name
COLONIAL INTERMEDIATE UNIT 20
Practice address
1115 Linden Street
Liberty High School
Bethlehem, PA 18018-2999
Phone
(610) 691-7200
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Dr. Christopher Wolfel, DO
Title
Executive Director
Phone
(610) 515-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 235100 PA Primary

Addresses

Primary practice location

1115 Linden Street
Liberty High School
Bethlehem, PA 18018-2999

Mailing address

6 Danforth Rd
Easton, PA 18045-7820
Phone (610) 515-6440

Other identifiers 1

IdentifierTypeStateIssuer
100754460MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Colonial Intermediate Unit 2044 organizations share this tax ID, including this one

Other organizations with this tax ID 43

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

View all 43

Locations

1115 Linden St
Bethlehem, PA 18018
Phone (484) 273-2952

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1952635450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DANFORTH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457820",
            "telephone_number": "610-515-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LINDEN STREET",
            "address_2": "LIBERTY HIGH SCHOOL",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182999",
            "telephone_number": "610-691-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL INTERMEDIATE UNIT 20",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "WOLFEL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-515-6403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "235100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100754460",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.