Organization Active NPI

Catholic Charities of the Diocese of Harrisburg PA Inc

  • Community/Behavioral Health Agency
  • Lancaster, PA
National Provider Identifier
1962029884
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC
Practice address
1004 New Holland Ave
Lancaster, PA 17601-5606
Phone
(717) 657-4804
Fax
(717) 657-8683
NPI assigned
Jun 26, 2020
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mrs. Kelly Gollick, MSW
Title
Executive Director
Phone
(717) 657-4804

Specialties & licenses 1

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

Addresses

Primary practice location

1004 New Holland Ave
Lancaster, PA 17601-5606

Mailing address

4800 Union Deposit Rd
Harrisburg, PA 17111-3710
Phone (717) 657-4804

Other identifiers 1

IdentifierTypeStateIssuer
001853906MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Harrisburg PA Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4800 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 657-4804

1004 New Holland Ave
Lancaster, PA 17601
Phone (717) 657-4804

47 S Mulberry St
Lancaster, PA 17603
Phone (717) 657-4804

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1962029884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 UNION DEPOSIT RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113710",
            "telephone_number": "717-657-4804",
            "fax_number": "717-657-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015606",
            "telephone_number": "717-657-4804",
            "fax_number": "717-657-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF HARRISBURG PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "GOLLICK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-657-4804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001853906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.