NORTHEASTERN BEHAVIORAL HEALTH, PC (NPI# 1215568431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215568431 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN BEHAVIORAL HEALTH, PC |
| Practice Address |
140 Bennett Avenue Suite 1b Milford PA 18337 |
| Mailing Address |
140 Bennett Avenue Suite 1b Milford PA 18338 |
| Practice Telephone | 5708324339 |
| Mailing Telephone | 5708324339 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | KIMBERLY KOWALIK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5708324339 |
| Authorized Official Credential | LPC, CAADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
140 BENNETT AVENUE SUITE 1B |
| City | MILFORD |
| State | PA |
| Zip Code | 18337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652070 | Ellen Marie Lucca | Registered Nurse | 111 East Catharine St. Suite 210, Milford, PA 18337 | 2019-11-03 |
| 1609421064 | Deborah Reynolds Lpn | Licensed Practical Nurse | 123 Sylvaer Drive, Milford, PA 18337 | 2019-08-02 |
| 1003334491 | Jessica Balcarcel | Specialist/Technologist | 154 Bayberry Drive, Milford, PA 18337 | 2017-09-06 |
| 1528502549 | Ashley Lyn Catanzaro | Occupational Therapist | 101 Pocono Drive, Milford, PA 18337 | 2016-12-09 |
| 1164857108 | Benjamin Muller | Physical Therapist | 518 Routes 6 and 209, Milford, PA 18337 | 2013-09-10 |
| 1457629024 | Andrew James Dickson | Pharmacist | 105 Wheatfield Dirve, Suite 2, Milford, PA 18337 | 2011-12-09 |
| 1801163225 | Alitons Pharmacy Home Healthcare Centers of Milford Inc | Durable Medical Equipment & Medical Supplies | 111-113 Route 6 Alitons Plaza, Milford, PA 18337 | 2011-11-30 |
| 1639465438 | John Mario Lettieri IIi | Pharmacist | 100 West Harford, Milford, PA 18337 | 2011-06-21 |
| 1265661961 | Harry George Boyle | Dentist | 211 East Harford Street, Milford, PA 18337 | 2009-07-02 |
| 1659596377 | Mark Imbrie | Psychologist | 204 E Harford Street, Milford, PA 18337 | 2007-04-16 |
| Find all providers in zip 18337 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280745 | Mary K. Benjamin, Licsw, Inc | Clinic/Center | 291 Main St Ste 10, Milford, MA 01757-2526 | 2017-08-09 |
| 1851350300 | Bridges Healthcare Inc. | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2006-03-22 |
| 1306471115 | Nikki Sewell Lcsw LLC | Clinic/Center | 57 Plains Rd Ste 1b, Milford, CT 06461-2573 | 2020-03-12 |
| 1639669724 | A Better Life Counseling, LLC | Clinic/Center | 597 Naugatuck Ave, Milford, CT 06461-4060 | 2018-05-14 |
| 1316450653 | Taryn Zarnetske LLC | Clinic/Center | 57 Plains Rd Ste 1e, Milford, CT 06461-2573 | 2017-11-08 |
| 1437384237 | Nicole Marie Wassel | Clinic/Center | 120 S Main St, Milford, MI 48381-1975 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679915 | Natick Counseling | Clinic/Center | 41 University Drive, Suite 428, Newtown, PA 18940 | 2020-11-04 |
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1780291062 | Grasta Counseling Services, LLC | Clinic/Center | 321 Spruce St Ste 502, Scranton, PA 18503-1445 | 2020-09-30 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1033725569 | Deirdre Razzi, Lcsw | Clinic/Center | 207 W Plumstead Ave, Lansdowne, PA 19050-1120 | 2020-09-21 |
| 1760096267 | Gail R. Ludwig | Clinic/Center | 689 Oxford Blvd, Pittsburgh, PA 15243-1637 | 2020-09-02 |
| 1922611086 | K.a.d. Counseling, LLC | Clinic/Center | 32 S Broad St Fl 2nd, Nazareth, PA 18064-2117 | 2020-08-28 |
| 1861002461 | Maternal Wellness Center LLC | Clinic/Center | 67 Byberry Rd, Hatboro, PA 19040-3205 | 2020-08-07 |
| 1104435536 | Finding Peace of The Poconos LLC | Clinic/Center | 310 Miller Rd, Stroudsburg, PA 18360-8407 | 2020-07-31 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHEASTERN BEHAVIORAL HEALTH, PC.
| 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.