FAMILY SERVICE ASSOCIATION (NPI# 1366861114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366861114 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE ASSOCIATION |
| Practice Address |
4201 Fayette Dr Bristol PA 19007-2612 |
| Mailing Address |
4 Cornerstone Dr Langhorne PA 19047-1314 |
| Practice Telephone | 2157885400 |
| Practice Fax Number | 2157888283 |
| Mailing Telephone | 2157576916 |
| Mailing Fax Number | 2157572115 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MS. AUDREY J TUCKER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2157576916 |
| Authorized Official Credential | MSW, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
12590 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100732890003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538672878 | Family Service Association | Community/Behavioral Health | 17210 Slover Ave Ste 200, Fontana, CA 92337-7536 | 2017-11-08 |
| 1811412067 | Family Service Association | Community/Behavioral Health | 5888 Mission Blvd, Riverside, CA 92509-4256 | 2017-08-09 |
| 1467866889 | Family Service Association | Community/Behavioral Health | 661 Jackson Rd, Newtonville, NJ 08346 | 2014-06-13 |
| 1649698879 | Family Service Association | Clinic/Center | 1800 Keystone St, Croydon, PA 19021-6830 | 2014-04-04 |
| 1508297094 | Family Service Association | Community/Behavioral Health | 50391 Carmen Ave., Cabazon, CA 92230 | 2013-12-09 |
| 1164715009 | Family Service Association | Community/Behavioral Health | 625 S Pico Ave, San Jacinto, CA 92583-4130 | 2011-05-25 |
| 1962606475 | Family Service Association | Community/Behavioral Health | 8172 Magnolia Avenue, Riverside, CA 92504-3441 | 2007-06-11 |
| 1285739318 | Family Service Association | Voluntary or Charitable | 21250 Box Springs Road, Suite 106, Moreno Valley, CA 92557-8705 | 2006-09-13 |
| 1063442390 | Family Service Association | Clinic/Center | 184 Salem Ave, Suite 190, Dayton, OH 45406-5804 | 2006-07-03 |
| 1912958513 | Family Service Association | Counselor | 312 E White Horse Pike, Galloway, NJ 08205-9565 | 2006-05-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION | 151 Rock St, Fall River, MA 02720-3201 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY | 4 Cornerstone Dr, Langhorne, PA 19047-1314 |
| Massachusetts Corporations | FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC. | 101 Rock Street, Fall River, MA 02720 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF LINCOLN | 501 S 7th St, Lincoln, NE 68508-2920 |
| System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF WYOMING VALLEY | 31 W Market St, Wilkes Barre, PA 18701-1304 |
| Connecticut Business Registrations | FAMILY SERVICE ASSOCIATION, INC. | Family Service Association Inc, 55 Wilcox Road, Stonington, CT 06378 |
| Street Address |
4201 FAYETTE DR |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019982 | Jennifer Gadalinski Lcsw LLC | Clinic/Center | 288 Pine St Apt D2, Bristol, CT 06010-6938 | 2019-02-20 |
| 1063997310 | Biolo Counseling LLC | Clinic/Center | 77 Greystone Ave, Bristol, CT 06010-7230 | 2018-10-02 |
| 1376931204 | Brandon M. Cole, Lpc, Mhsp, Pllc | Clinic/Center | 739 Bluff City Hwy Ste 8, Bristol, TN 37620-4637 | 2014-12-30 |
| 1033517180 | Family Service Association of Bucks County | Clinic/Center | 450 Beaver St, Bristol, PA 19007-3737 | 2014-12-05 |
| 1568790988 | Family Service Association of Bucks County | Clinic/Center | 1001 Veterans Hwy, Bristol, PA 19007-2552 | 2009-11-23 |
| 1891889184 | Catholic Charities, Inc. - Archdiocese of Hartford | Clinic/Center | 440 N Main St # C, Bristol, CT 06010-4990 | 2006-10-03 |
| 1689072720 | Family Service Association of Bucks County | Clinic/Center | 1801 Wilson Ave, Bristol, PA 19007-4220 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
| 1356949663 | Christina Robidoux, Lpc | Clinic/Center | 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 | 2020-10-09 |
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1629683693 | Sunshine Counseling, LLC | Clinic/Center | 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 | 2020-09-15 |
| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1023623956 | Sunshine Healing & Counseling | Clinic/Center | 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 | 2020-09-08 |
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.