EDGEWATER PSYCHIATRIC CENTER (NPI# 1275757692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275757692 |
| Entity Type | Organization |
| Organization Name | EDGEWATER PSYCHIATRIC CENTER |
| Practice Address |
295 State Dr Elizabethville PA 17023-8661 |
| Mailing Address |
4391 Sturbridge Dr Harrisburg PA 17110-3673 |
| Practice Telephone | 2158363131 |
| Mailing Telephone | 2158363131 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-08-05 |
| Authorized Official Name | MR. NORMAN TILSON JR. (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007457920011 | 05 | |
| PA | 1007457920019 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487878609 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2007-04-11 |
| 1821267543 | Edgewater Psychiatric Center | Community/Behavioral Health | 2421 N Front St, Harrisburg, PA 17110-1110 | 2008-02-27 |
| 1376712091 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2213 | 2008-02-27 |
| 1356565576 | Edgewater Psychiatric Center | Community/Behavioral Health | 1100 S Cameron St, Harrisburg, PA 17104-2547 | 2007-04-11 |
| 1720202948 | Edgewater Psychiatric Center | Community/Behavioral Health | 1801 N Front St, Harrisburg, PA 17102-2241 | 2007-04-11 |
| Street Address |
295 STATE DR |
| City | ELIZABETHVILLE |
| State | PA |
| Zip Code | 17023-8661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396008603 | Naaman Center | Counselor | 295 State Dr, Elizabethville, PA 17023-8661 | 2012-06-21 |
| 1396010138 | Shannon Lee Miller | Counselor | 295 State Dr, Elizabethville, PA 17023-8661 | 2012-03-13 |
| 1043517378 | Samantha Emily Kramer | Counselor | 295 State Dr, Elizabethville, PA 17023-8661 | 2011-02-23 |
| 1255662854 | Marlene Wallace Finney | Social Worker | 295 State Dr, Elizabethville, PA 17023-8661 | 2010-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508997024 | Wal-mart Stores East, L.p. | Technician/Technologist | 200 Kocher Lane, Elizabethville, PA 17023 | 2007-03-08 |
| 1073686176 | Brett A Bellis | Chiropractor | 129 Locust Street, Elizabethville, PA 17023 | 2006-11-16 |
| 1629155445 | Wyndham Healthcare Inc. | Home Health | 27 S Market Street, Elizabethville, PA 17023 | 2006-11-01 |
| 1497853139 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4686 Rte 209 Lykens Valley Sc, Elizabethville, PA 17023 | 2006-09-20 |
| 1164064135 | Amanda Ruzansky | Counselor | 20 Clearfield Street, Elizabethville, PA 17023 | 2019-10-11 |
| 1316068406 | Wyndham Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 27 S Market Street, Elizabethville, PA 17023 | 2007-04-03 |
| 1063403046 | The Kepler Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 S. Market St., Elizabethville, PA 17023-0680 | 2005-10-31 |
| 1659494508 | Cynthia Campbell Stauffer | Psychologist | 20 Clearfield Street, Elizabethville, PA 17023-1702 | 2007-04-07 |
| 1821655747 | Home Insite LLC | Registered Nurse | 16 E Main St, Elizabethville, PA 17023-2001 | 2019-05-27 |
| 1366982274 | Genesis House, Inc. | Counselor | 2 E Main St, Elizabethville, PA 17023-2026 | 2017-02-27 |
| Find all providers in zip 17023 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHVILLE |
| Zip Code | 17023 |
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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.