KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS, INC. (NPI# 1013039916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013039916 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS FOR KIDS IN CRISIS, INC. |
| Other Organization Name | KIDSPEACE NATIONAL CENTERS, INC. |
| Practice Address |
5300 Kidspeace Dr Orefield PA 18069-2044 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 6107998000 |
| Practice Fax Number | 6107998900 |
| Mailing Telephone | 6107998000 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | MICHAEL CALLAN (CFO) |
| Authorized Official Telephone | 6107997517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100763290-0041 | 05 |
| Other Name | Type Code |
|---|---|
| KidsPeace National Centers, Inc. | Doing Business As Name - Organization |
| Street Address |
5300 KIDSPEACE DR |
| City | OREFIELD |
| State | PA |
| Zip Code | 18069-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741094 | Michael G Wissler | Family Medicine | 5300 Kidspeace Dr, Kidspeace National Centers, Inc., Orefield, PA 18069-2044 | 2005-09-20 |
| 1639785991 | David Sullivan Jr. | Nurse Practitioner | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-09-21 |
| 1538793658 | Kidspeace National Center, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-02-27 |
| 1407496854 | Diane Lilajoyce Janosik | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2020-01-14 |
| 1427693845 | Kristi Culp | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-11-08 |
| 1841841426 | Katherine Molina | Counselor | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-09-24 |
| 1336790013 | Jade Elizabeth Radigan | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2019-09-24 |
| 1295394716 | Jessica Marie West | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2019-06-08 |
| 1548824170 | Shayna J Castagna | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-04-29 |
| 1871068452 | Jana Louise Hill | Dietitian, Registered | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153320 | Julie Sikorsky | Behavioral Analyst | 2909 Pa-100, #110, Orefield, PA 18069 | 2020-08-05 |
| 1356909774 | Katie Michelle Noraas | Behavior Technician | 2909 Pa 100, Suite Number 110, Orefield, PA 18069 | 2019-05-31 |
| 1629632385 | Cody Brenneman | Physical Therapist | 3560 Pa-309, Orefield, PA 18069 | 2019-04-29 |
| 1538643028 | Meghan Emily Heubel | Specialist | 2909 Pa-100 #100, Orefield, PA 18069 | 2018-09-20 |
| 1124477542 | Lisa H.helene Mackeverican | Doula | 3715 Lindy Dr., Orefield, PA 18069 | 2016-06-07 |
| 1336424803 | Pediatric Stars Home Health Agency, LLC | Nursing Care | 5237 Blue Sky Drive, Orefield, PA 18069 | 2011-10-17 |
| 1477762920 | Cary Lee Lehman | Dentist | 5923 Chapmans Rd, Orefield, PA 18069 | 2007-05-22 |
| 1811032238 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069 | 2007-02-21 |
| 1558407924 | Conrad G Maulfair Jr. | Family Medicine | 2970 Corporate Court, Suite 1, Orefield, PA 18069 | 2007-01-30 |
| 1366515314 | Zhihong Zheng | Acupuncturist | 2340 Pa Route 309, Orefield, PA 18069 | 2006-11-16 |
| Find all providers in zip 18069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558407924 | Conrad G Maulfair Jr. | Family Medicine | 2970 Corporate Court, Suite 1, Orefield, PA 18069 | 2007-01-30 |
| 1497741094 | Michael G Wissler | Family Medicine | 5300 Kidspeace Dr, Kidspeace National Centers, Inc., Orefield, PA 18069-2044 | 2005-09-20 |
| 1023346285 | Lehigh Valley Physician Group | Family Medicine | 5074 Kernsville Rd, Orefield, PA 18069-2320 | 2009-11-30 |
| 1598867921 | St. Luke's Physician Group, Inc. | Family Medicine | 3560 Route 309, Orefield, PA 18069 | 2006-09-05 |
| 1376557447 | Raji Srinivasan | Family Medicine | 5074 Kernsville Rd, Orefield, PA 18069 | 2006-07-27 |
| 1801838883 | Craig R Christine | Family Medicine | 5074 Kernsville Rd, Orefield, PA 18069-2320 | 2006-06-12 |
| 1528008927 | Deborah A Bren | Family Medicine | 5074 Kernsville Rd, Orefield, PA 18069-2320 | 2006-06-07 |
| 1821053166 | Kevin F Rodowicz | Family Medicine | 3560 Route 309, Orefield, PA 18069-2001 | 2006-04-19 |
| 1093770331 | Michael D Gabriel | Family Medicine | 3560 Route 309, Orefield, PA 18069-2001 | 2006-04-19 |
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|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.