COLONIAL INTERMEDIATE UNIT 20 (NPI# 1063636132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063636132 |
| Entity Type | Organization |
| Organization Name | COLONIAL INTERMEDIATE UNIT 20 |
| Practice Address |
476 Polk Township Rd Pleasant Valley Elementary School Kunkletown PA 18058-7731 |
| Mailing Address |
6 Danforth Drive Easton PA 18045-7899 |
| Practice Telephone | 6105156477 |
| Practice Fax Number | 6105156457 |
| Mailing Telephone | 6102525550 |
| Mailing Fax Number | 6105156457 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DR. CHARLENE M BRENNAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6102525550 |
| Authorized Official Credential | D. ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
235100 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100754460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953145 | Colonial Intermediate Unit 20 | Clinic/Center | 539 School Rd, Nazareth, PA 18064-9309 | 2019-07-08 |
| 1710548912 | Colonial Intermediate Unit 20 | Clinic/Center | 800 Memorial Blvd, Tobyhanna, PA 18466-7789 | 2019-06-27 |
| 1790346906 | Colonial Intermediate Unit 20 | Clinic/Center | 381 Washington Blvd, Bangor, PA 18013-2745 | 2019-06-27 |
| 1497273791 | Colonial Intermediate Unit 20 | Clinic/Center | 1002 West Union Blvd, Bethlehem, PA 18018-3509 | 2017-09-07 |
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1023232972 | Colonial Intermediate Unit 20 | Clinic/Center | 231 Pocono Mt School Rd, Swiftwater, PA 18370-0200 | 2007-04-12 |
| 1609099837 | Colonial Intermediate Unit 20 | Community/Behavioral Health | 6 Danforth Dr, Easton, PA 18045-7899 | 2007-04-10 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1982827119 | Colonial Intermediate Unit 20 | Clinic/Center | 125 Center Court, Swiftwater, PA 18370 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| Street Address |
476 POLK TOWNSHIP RD PLEASANT VALLEY ELEMENTARY SCHOOL |
| City | KUNKLETOWN |
| State | PA |
| Zip Code | 18058-7731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887544 | Elizabeth Garambone | Counselor | 250 Hawk Farm Rd, Kunkletown, PA 18058-3036 | 2019-12-06 |
| 1447630231 | Kasey Meckes | Specialist/Technologist | 458 Silfies Rd, Kunkletown, PA 18058-7182 | 2015-06-05 |
| 1952303224 | Ramon David Baker | Family Medicine | 142 Smale Ln, Kunkletown, PA 18058-7187 | 2005-06-01 |
| 1538224852 | Theresa Steinbacher | Counselor | 123 Walnut St, Kunkletown, PA 18058-7224 | 2006-12-27 |
| 1548803901 | Joanna Alicia Richardson | Counselor | 157 Philmar Dr, Kunkletown, PA 18058-7332 | 2019-10-17 |
| 1952661878 | Robyn Brunell | Dietitian, Registered | 265 Deer Path, Kunkletown, PA 18058-7770 | 2012-05-24 |
| 1013492651 | Advanced Nurse Practitioner Associates Inc | Clinic/Center | 180 Hty Rd Ste 1, Kunkletown, PA 18058-7786 | 2018-09-29 |
| 1073724555 | Karen Jeanette Smith | Nurse Practitioner | 180 Hty Rd, Kunkletown, PA 18058-7786 | 2007-05-25 |
| 1871994251 | Nicole Rejment | Speech-Language Pathologist | 337 Ralph Samuel Blvd, Kunkletown, PA 18058-7810 | 2014-09-04 |
| 1679942759 | Alyse Voulo | Student in an Organized Health Care Education/Training Program | 185 Lower Valley Dr, Kunkletown, PA 18058-7901 | 2015-09-18 |
| Find all providers in zip 18058 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | KUNKLETOWN |
| Zip Code | 18058 |
Please comment or provide details below to improve the information on COLONIAL INTERMEDIATE UNIT 20.
| 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.