NPIMap

Organization Active NPI

Kidspeace National Centers Inc

  • Community/Behavioral Health Agency
  • Bloomsburg, PA
National Provider Identifier
1992840268
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
201990 Issued in PA
Legal business name
KIDSPEACE NATIONAL CENTERS INC
Practice address
1123C Old Berwick Rd
Bloomsburg, PA 17815-2913
Phone
(610) 799-8927
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Michael Callan
Title
Cfo
Phone
(610) 799-7517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 201990 PA Primary

Addresses

Primary practice location

1123C Old Berwick Rd
Bloomsburg, PA 17815-2913

Mailing address

4085 Independence Dr
Schnecksville, PA 18078
Phone (800) 854-3123

Other practice location 1

340 Railroad St
Danville, PA 17821-2042
Phone (570) 271-0590

Other identifiers 1

IdentifierTypeStateIssuer
100763290-0026MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers of Pennsylvania Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

1123C Old Berwick Rd
Bloomsburg, PA 17815
Phone (610) 799-8927

340 Railroad St
Danville, PA 17821
Phone (570) 271-0590

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1992840268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "18078",
            "telephone_number": "800-854-3123",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123C OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152913",
            "telephone_number": "610-799-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178212042",
            "country_code": "US",
            "telephone_number": "570-271-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-799-7517"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "201990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763290-0026",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.