WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC (NPI# 1477789287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477789287 |
| Entity Type | Organization |
| Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| Other Organization Name | COMMUNITY COUSENLING SERVICE OF NE PA |
| Practice Address |
562 Wyoming Ave Kingston PA 18704-3721 |
| Practice Telephone | 5708230070 |
| Practice Fax Number | 5708230123 |
| Mailing Telephone | 5705523700 |
| Mailing Fax Number | 5705523733 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 222930 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022885770016 | 05 |
| Other Name | Type Code |
|---|---|
| Community Cousenling Service of NE PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093070583 | Wilkes Barre Behavioral Hospital Company LLC | Community Based Residential Treatment Facility, Mental Illness | 76 S Dawes Ave, Kingston, PA 18704-5710 | 2012-07-10 |
| 1649535139 | Wilkes Barre Behavioral Hospital Company LLC | Community Based Residential Treatment Facility, Mental Illness | 3504 Bear Creek Blvd, Bear Creek Township, PA 18702-9760 | 2012-07-10 |
| 1073842936 | Wilkes Barre Behavioral Hospital Company LLC | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-12-23 |
| 1982835484 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-07-31 |
| 1669608477 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 99 Bridge St, Tunkhannock, PA 18657-1303 | 2009-06-08 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1386870194 | Wilkes Barre Behavioral Hospital Company LLC | Case Management | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| 1376779181 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| 1568698371 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301 | 2009-06-08 |
| 1992931893 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-05 |
| Street Address |
562 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| 1376186064 | Brent Smith | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2019-10-24 |
| 1275812661 | Roseanne P Pace | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-08-16 |
| 1609172170 | Brittany Bahner | Counselor | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2011-02-01 |
| 1528368826 | Mary Repasky | Counselor | 562 Wyoming Ave, Choices Program of Wyoming Valley, Kingston, PA 18704 | 2010-11-02 |
| 1073842936 | Wilkes Barre Behavioral Hospital Company LLC | Registered Nurse | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-12-23 |
| 1285862409 | David Liskov, Md | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-25 |
| 1013144211 | Md.mushfiqur Rahman | Psychiatry & Neurology | 562 Wyoming Ave, First Hospital, Kingston, PA 18704-3721 | 2009-06-15 |
| 1114153921 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-08 |
| 1992931893 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1801005640 | Ulster County Dss Early Intervention Unit | Case Management | 1071 Development Ct, Kingston, NY 12401-1959 | 2007-05-21 |
| 1457565632 | Resource Center Fro Accessible Living, Inc. | Case Management | 592 Ulster Ave, Kingston, NY 12401-1924 | 2007-05-09 |
| 1336284462 | Southern Oklahoma Treatment Services, Inc. | Case Management | 500 Hwy 70 North, Kingston, OK 73439 | 2007-02-20 |
| 1568513083 | Acn Group Ipa of Newyork | Case Management | 505 Boices Ln, Kingston, NY 12401-1083 | 2007-01-12 |
| 1346317591 | Young Womens Christian Association of Ulster County | Case Management | 209 Clinton Ave, Kingston, NY 12401-5030 | 2006-11-30 |
| 1861969776 | Timothy Albert Knight I | Case Management | 717 Highway 70 E, Kingston, OK 73439-8253 | 2018-10-29 |
| 1912305848 | Ulster-greene Counties Chapter Nysarc Inc | Case Management | 471 Albany Ave, Kingston, NY 12401-2138 | 2014-12-09 |
| 1225302037 | Family of Woodstock, Inc | Case Management | 39 John St, Kingston, NY 12401-3821 | 2012-02-27 |
| 1518280379 | Sullivan Care Solutions | Case Management | 28 Ocean Hill Dr, Kingston, MA 02364-3010 | 2010-03-09 |
| Find all providers in KINGSTON | ||||
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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.