Organization Active NPI

Behavioral Healthcare Corporation

  • Adult Mental Health Clinic/Center
  • Lancaster, PA
National Provider Identifier
1992919476
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
323720 Issued in PA
Legal business name
BEHAVIORAL HEALTHCARE CORPORATION
Practice address
822 Marietta Ave
Lancaster, PA 17603-3239
Phone
(717) 399-8288
Fax
(717) 399-8968
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Mr. Eric H Eshleman, M.ED
Title
Ceo
Phone
(717) 399-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 323720 PA Primary

Addresses

Primary practice location

822 Marietta Ave
Lancaster, PA 17603-3239

Mailing address

822 Marietta Ave
Lancaster, PA 17603-3239
Phone (717) 399-8288

Other identifiers 1

IdentifierTypeStateIssuer
1066422070002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000360 PA Part B Supplier - Clinic/Group Practice 1456448851 Receives reassigned benefits from 5 practitioners
Practice locations: Lancaster, PA

National Provider Directory

National Provider Directory

Locations

822 Marietta Ave
Lancaster, PA 17603
Phone (717) 391-2660

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1992919476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-399-8288",
            "fax_number": "717-399-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033239",
            "telephone_number": "717-399-8288",
            "fax_number": "717-399-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "ESHLEMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-399-8288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "323720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066422070002",
            "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 Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.