NPIMap

Philhaven

Organization Active NPI Psychiatric Hospital · Lebanon, PA

NPI 1972598076 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1972598076
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
Legal business name
PHILHAVEN
Practice address
283 S Butler Rd
Lebanon, PA 17042-8939
Phone
(800) 932-0359
NPI assigned
Sep 14, 2005
Organization subpart
No

Authorized official

Name
Mantha Kotsalos
Title
VP & President Philhaven
Phone
(717) 270-2423

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

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

Facilities with the same owner 20

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

Practitioners 253

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

View all 253

Medicare Care Compare: Hospital

Listed as
Philhaven Hospital CCN 394020
Type
Psychiatric
Ownership
Voluntary non-profit - Church
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA

Hospital certification: CCN 394020

Legal name
PHILHAVEN
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Jun 10, 2015
Beds
103
Ownership / control type
Church
Organization structure
Corporation · Non-profit
Incorporated
May 11, 1949 in PA
Enrollment address
283 S Butler Rd
Lebanon, PA 17042-8939
Hospital subgroups
Psychiatric

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Laura Buczkowski
Individual 		Corporate Officer
Senior VP and Cfo		 Nov 30, 2020
W-2 Managing Employee
Senior VP and Cfo		 Nov 30, 2020
Roxanna L Gapstur
Individual 		Other
President, Wellspan Health		 Jan 2, 2019
Mantha Kotsalos
Individual 		Corporate Officer
VP Behavioral Health Network		 Apr 23, 2024
W-2 Managing Employee
VP Behavioral Health Network		 Apr 23, 2024
Robert Hoffman
Individual 		Corporate Director Jan 1, 2021
Robert J Funk
Individual 		Corporate Director Jan 1, 2021
Stephen a Lindsey
Individual 		Corporate Director Jan 1, 2021
Christopher L Grant
Individual 		Corporate Director Jan 1, 2021
Roger Zimmerman
Individual 		Corporate Director Jan 1, 2021
Carrie Wilson
Individual 		Corporate Director
Vice Chair		 Jan 1, 2021
Moniqua Acosta
Individual 		Corporate Officer
Chair		 Jan 1, 2021
Corporate Director Jul 1, 2013
Michael B Seim
Individual 		Corporate Director
Ex-Officio		 Jan 1, 2021
Kimberly Shaun Kreider Umble
Individual 		Corporate Director Jan 1, 2021
Wellspan Health
Organization · York, PA
Corporation, Non-profit 		Operational/Managerial Control Jan 1, 2016
Other Jan 1, 2016
Edward Joseph Tadajweski
Individual 		Corporate Director Jan 1, 2021
James Stuccio
Individual 		Corporate Director
Ex-Officio		 Jan 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031110000103 PA Part B Supplier - Clinic/Group Practice 8729991419 Receives reassigned benefits from 156 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lebanon, PA; Lancaster, PA; Ephrata, PA
O20100910000406 PA Part a Provider - Hospital 8729991419 3 other NPIs on this enrollment
Practice locations: York, PA; Lebanon, PA; Lancaster, PA

National Provider Directory

Tax ID family
Philhaven Residential (15 organizations share this tax ID)

Locations

422 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 653-0731

354 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-1125

2717 N Front St
Harrisburg, PA 17110
Phone (717) 230-9622

2601 Herr St
Harrisburg, PA 17103
Phone (717) 230-9622

315 W James St
Lancaster, PA 17603
Phone (717) 270-2425

1884 Rohrerstown Rd
Lancaster, PA 17601
Phone (717) 569-1166

2501 Oregon Pike
Lancaster, PA 17601
Phone (717) 735-1954

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

275 Hess Blvd
Ste 102
Lancaster, PA 17601
Phone (717) 399-7381

812 N Prince St
Lancaster, PA 17603
Phone (717) 509-9845

125 Schneider Dr
Lebanon, PA 17046
Phone (717) 270-2444

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

964 Isabel Dr
Lebanon, PA 17042
Phone (717) 274-9777

352 E Main St
Leola, PA 17540
Phone (717) 656-7036

283 Butler Rd
#550
Mount Gretna, PA 17064
Phone (717) 270-2451

1245 W Princess St
York, PA 17404
Phone (717) 845-2482

150 Roosevelt Ave
York, PA 17401
Phone (717) 356-5430

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Psychiatric Hospital 283Q00000X Yes

Addresses

Primary practice location

283 S Butler Rd
Lebanon, PA 17042-8939

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

150 Roosevelt Ave
York, PA 17401-3380
Phone (717) 270-2425

Other practice location 2

315 W James St
Lancaster, PA 17603-2979
Phone (717) 270-2425

Other practice location 3

125 Schneider Dr Ste B
Lebanon, PA 17046-4875
Phone (717) 376-1020

Other identifiers

IdentifierTypeStateIssuer
100772000-0175MedicaidPA
1007720000121MedicaidPA
1007720000174MedicaidPA
1007720000016MedicaidPA
318550OtherPACERTIFICATE OF COMPLIANCE LICENSE NUMBER

Other names

  • WellSpan Philhaven Doing business as
  • WellSpan Philhaven Inpatient Psychiatric Unit Other name
  • WellSpan Philhaven Private Psychiatric Hospital Other name

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Lebanon, PA

All providers in Lebanon, PA · Psychiatric Hospital in Pennsylvania

Sources for this page

Verify at the official NPI Registry.