CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES (NPI# 1396069332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396069332 |
| Entity Type | Organization |
| Organization Name | CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES |
| Practice Address |
675 Locust St Bloomsburg PA 17815 |
| Mailing Address |
Po Box 219 Danville PA 17821-0219 |
| Practice Telephone | 5707847804 |
| Practice Fax Number | 5707848307 |
| Mailing Telephone | 5702755422 |
| Mailing Fax Number | 5702756610 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MR. RICHARD D. BEACH (ADMINISTRATOR) |
| Authorized Official Telephone | 5702755422 |
| Authorized Official Credential | LCSW, BCD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 32777 | PA | Agencies |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | 327770 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000020900077 | 05 | |
| PA | 335290 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 848 Sale Barn Rd, Middleburg, PA 178429091 | 5707657167 | 5707657168 |
| 194 Fester Rd, Bloomsburg, PA 178157238 | 5702040132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497159784 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 1605 Bloom Rd, Suite # 1, Danville, PA 17821-8506 | 2014-10-15 |
| 1801029269 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 848 Sale Barn Rd, Middleburg, PA 17842 | 2009-09-01 |
| 1407999766 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2007-02-15 |
| 1548427107 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821-2009 | 2008-05-21 |
| 1881851442 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2008-05-21 |
| Street Address |
675 LOCUST ST |
| City | BLOOMSBURG |
| State | PA |
| Zip Code | 17815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
| 1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
| 1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
| 1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
| 1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
| 1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
| 1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
| 1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
| 1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
| 1861416174 | Vincent J Basile | Physical Therapist | 410 Glen Avenue, Medical Professional Building, Suiite 101, Bloomsburg, PA 17815 | 2006-07-27 |
| Find all providers in zip 17815 | ||||
| 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 |
|---|---|---|---|---|
| 1992840268 | Kidspeace National Centers Inc | Community/Behavioral Health | 1123c Old Berwick Rd, Bloomsburg, PA 17815-2913 | 2007-02-21 |
| 1992896153 | Pa Treatment & Healing | Community/Behavioral Health | 200 Montour Blvd, Suite 1, Bloomsburg, PA 17815-8578 | 2006-09-27 |
| 1790080331 | Caldwell Family Counseling, LLC | Community/Behavioral Health | 457 Ridge St, Bloomsburg, PA 17815-3371 | 2011-01-12 |
| 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 | BLOOMSBURG |
| Zip Code | 17815 |
Please comment or provide details below to improve the information on CMSU BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES.
| 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.