KIDSPEACE NATIONAL CENTERS INC (NPI# 1083759468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083759468 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS INC |
| Practice Address |
5300 Kidspeace Dr Orefield PA 18069 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078 |
| Practice Telephone | 8008543123 |
| Practice Fax Number | 6107998318 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-12-06 |
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | 220110 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8387907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437394509 | Kidspeace National Centers Inc | Assisted Living Facility | 301 Broadway Ste 4b, Bethlehem, PA 18015-1559 | 2008-12-03 |
| 1881849032 | Kidspeace National Centers Inc | Foster Care Agency | 534 3rd Ave, Duncansville, PA 16635-1414 | 2008-12-01 |
| 1134374382 | Kidspeace National Centers Inc | Foster Care Agency | 505 Penn St Ste 301, Reading, PA 19601-3473 | 2008-12-01 |
| 1447405691 | Kidspeace National Centers Inc | Foster Care Agency | 1300 Horizon Dr Ste 102, Chalfont, PA 18914-3970 | 2008-12-01 |
| 1063557445 | Kidspeace National Centers Inc | Foster Care Agency | 340 Railroad St, Danville, PA 17821-2042 | 2007-02-21 |
| 1215072780 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 637 11th Avenue, Bethlehem, PA 18017 | 2007-02-21 |
| 1093850414 | Kidspeace National Centers Inc | Foster Care Agency | 100 Fourth Street, 1st Floor, Honesdale, PA 18431-1869 | 2007-02-21 |
| 1346385739 | Kidspeace National Centers Inc | Foster Care Agency | 830 Washington Blvd, Unit 1, Williamsport, PA 17701-5592 | 2007-02-21 |
| 1992840268 | Kidspeace National Centers Inc | Community/Behavioral Health | 1123c Old Berwick Rd, Bloomsburg, PA 17815-2913 | 2007-02-21 |
| 1811032238 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069 | 2007-02-21 |
| Street Address |
5300 KIDSPEACE DR |
| City | OREFIELD |
| State | PA |
| Zip Code | 18069 |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811032238 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069 | 2007-02-21 |
| 1538793658 | Kidspeace National Center, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-02-27 |
| 1477094159 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2017-03-15 |
| 1831630516 | Kidspeace National Centers, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2017-03-15 |
| 1194266874 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2017-03-15 |
| 1760926166 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-12-05 |
| 1225572621 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-12-05 |
| 1417400359 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-07-27 |
| 1396023875 | Kidspeace National Centers Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2011-08-01 |
| 1366744476 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069-2044 | 2010-11-22 |
| Find all providers in OREFIELD | ||||
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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.