COLONIAL INTERMEDIATE UNIT 20 (NPI# 1497273791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497273791 |
| Entity Type | Organization |
| Organization Name | COLONIAL INTERMEDIATE UNIT 20 |
| Practice Address |
1002 West Union Blvd Bethlehem PA 18018-3509 |
| Mailing Address |
6 Danforth Dr Easton PA 18045-7820 |
| Practice Telephone | 6105156439 |
| Mailing Telephone | 6105156439 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | CYNTHIA JAYNE NICHOLAS (MEDICAL BILLING MGMT ASST) |
| Authorized Official Telephone | 6105156439 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
235100 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007544600003 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Danforth Dr, Easton, PA 180457820 | (610) 515-6439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953145 | Colonial Intermediate Unit 20 | Clinic/Center | 539 School Rd, Nazareth, PA 18064-9309 | 2019-07-08 |
| 1710548912 | Colonial Intermediate Unit 20 | Clinic/Center | 800 Memorial Blvd, Tobyhanna, PA 18466-7789 | 2019-06-27 |
| 1790346906 | Colonial Intermediate Unit 20 | Clinic/Center | 381 Washington Blvd, Bangor, PA 18013-2745 | 2019-06-27 |
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1063636132 | Colonial Intermediate Unit 20 | Clinic/Center | 476 Polk Township Rd, Pleasant Valley Elementary School, Kunkletown, PA 18058-7731 | 2007-04-12 |
| 1023232972 | Colonial Intermediate Unit 20 | Clinic/Center | 231 Pocono Mt School Rd, Swiftwater, PA 18370-0200 | 2007-04-12 |
| 1609099837 | Colonial Intermediate Unit 20 | Community/Behavioral Health | 6 Danforth Dr, Easton, PA 18045-7899 | 2007-04-10 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1982827119 | Colonial Intermediate Unit 20 | Clinic/Center | 125 Center Court, Swiftwater, PA 18370 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| Street Address |
1002 WEST UNION BLVD |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18018-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373292 | Jade Madison Hennessy | Specialist/Technologist | Moravian College, 1200 Main Street, Bethlehem, PA 18018 | 2019-06-03 |
| 1780106179 | Courtney Jane Kruscavage | Specialist/Technologist | 641 Dellwood Street, Bethlehem, PA 18018 | 2017-07-07 |
| 1205357936 | Balanced Body Therapeutic Massage, LLC | Massage Therapist | 227 W Broad St Ste 102, Bethlehem, PA 18018 | 2017-07-03 |
| 1033567599 | Jessamine Martin | Counselor | 1 East Broad Street, Suite 510, Bethlehem, PA 18018 | 2016-05-25 |
| 1841650041 | Akhi Saha | Internal Medicine | 325 W Broad St Fl 1, Bethlehem, PA 18018 | 2016-03-01 |
| 1063804193 | Paul Minh Le | Internal Medicine | 800 Eaton Ave Ste B, Bethlehem, PA 18018 | 2015-02-26 |
| 1578962841 | Elizabeth Veronica Weiss Iobst | Counselor | 1754 W. Broad St., Bethlehem, PA 18018 | 2014-08-22 |
| 1255771739 | Inner Resources Counseling Inc | Counselor | 807 West Broad St, Bethlehem, PA 18018 | 2013-06-28 |
| 1437404878 | St Luke Hospital | General Acute Care Hospital | 1956 C Allwood Dr., Bethlehem, PA 18018 | 2012-07-23 |
| 1275802944 | St. Luke's Physician Group, Inc | Ophthalmology | 800 Eaton Avenue, Suite 101, Bethlehem, PA 18018 | 2011-12-23 |
| Find all providers in zip 18018 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952635450 | Colonial Intermediate Unit 20 | Clinic/Center | 1115 Linden Street, Liberty High School, Bethlehem, PA 18018-2999 | 2009-09-30 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| 1356463657 | Colonial Intermediate Unit 20 | Clinic/Center | 114 W Morton St, Bethlehem, PA 18015-1636 | 2007-04-06 |
| 1285756411 | Colonial Intermediate Unit 20 | Clinic/Center | 1110 Fernwood St, Bethlehem, PA 18018-3016 | 2007-04-06 |
| 1811032501 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-20 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1669594966 | Colonial Intermediate Unit 20 | Clinic/Center | 3149 Chester Ave, Bethlehem, PA 18020-2866 | 2007-04-06 |
| 1326173360 | Kidspeace Childrens Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-22 |
| Find all providers in BETHLEHEM | ||||
Please comment or provide details below to improve the information on COLONIAL INTERMEDIATE UNIT 20.
| 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.