Blue Ridge Eating Disorder Treatment Center LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BLUE RIDGE EATING DISORDER TREATMENT CENTER LLC

Practice address

213 Blue Ridge Rd
Saylorsburg, PA 18353-8131

Phone

(732) 887-7136

NPI assigned

Mar 23, 2023

Organization subpart

No

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

Authorized official

Name

Eli Fisch

Title

Owner

Phone

(570) 718-8800

Specialties & licenses 2

Addresses

Practitioners 3

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

• Erica Leigh Butler

  • Marriage & Family Therapist
  • Saylorsburg, PA
  • NPI 1184072670
  NPD
• Rebecca Loux, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saylorsburg, PA
  • NPI 1063216554
  NPD (past)
• Adrienne Marie Moran

  • Family Medicine Physician
  • Saylorsburg, PA
  • NPI 1457204828
  NPD (past)

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1972206415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BLUE RIDGE RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538131",
            "telephone_number": "570-718-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BLUE RIDGE RD",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538131",
            "telephone_number": "732-887-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE EATING DISORDER TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-718-8800"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Jayne Archer, SI
• Pamela Arnold, MA
• Diana C Barrett, EMT-B
• Lindsay Patricia Bates, COTA
• Erica Leigh Butler
• Ashok Kumar Chhabra, PSY.D.
• Concrete Physical Therapy P.C.
• Daniel Thomas Corwin, PHARM. D
• Tayah Lynn Fretz, MA

• Mental Illness Community Based Residential Treatment Facility in Saylorsburg, PA
• Providers in Saylorsburg, PA by specialty
• Mental Illness Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.