WHITE DEER RUN, INC (NPI# 1528339215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528339215 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Practice Address |
110 Main St Watsontown PA 17777-1740 |
| Practice Telephone | 5705383302 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | JOSEPH PROCOPIO (PRESIDENT, NECRC) |
| Authorized Official Telephone | 5705383302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100756787 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386890713 | White Deer Run, Inc | Community/Behavioral Health | Open Building Number 13, Torrance State Hospital, Torrance, PA 15779 | 2008-08-18 |
| 1659570299 | White Deer Run, Inc | Counselor | 106 Davies Dr, York, PA 17402-8605 | 2007-07-13 |
| 1649391319 | White Deer Run, Inc | Counselor | 8284 Leaser Road, Kempton, PA 19529 | 2007-04-02 |
| 1912027921 | White Deer Run, Inc | Community/Behavioral Health | 624 Broad St, Johnstown, PA 15906-2524 | 2007-03-31 |
| 1952421968 | White Deer Run, Inc | Clinic/Center | 1921 W 8th St, Erie, PA 16505-4936 | 2007-03-31 |
| 1902926918 | White Deer Run, Inc | Community/Behavioral Health | 901 Westminster Dr, Williamsport, PA 17701-3909 | 2007-03-31 |
| 1942320957 | White Deer Run, Inc | Counselor | 53 N West End Ave # 55, Lancaster, PA 17603-3226 | 2007-03-31 |
| 1427178417 | White Deer Run, Inc | Clinic/Center | 1216 Pleasant Valley Blvd, Suite E, Altoona, PA 16602-4750 | 2007-03-31 |
| 1992996730 | White Deer Run, Inc | Community/Behavioral Health | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-08-07 |
| 1750581609 | White Deer Run, Inc | Psychologist | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WHITE DEER RUN, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Street Address |
110 MAIN ST |
| City | WATSONTOWN |
| State | PA |
| Zip Code | 17777-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085549 | Richard J Dranitzke | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 635 Belle Terre Road, Port Jefferson, NY 17777 | 2006-05-31 |
| 1396921490 | Keystone Care Physical Therapy, Inc. | Occupational Therapist | 465 Susquehanna Trl, Watsontown, PA 17777 | 2008-01-18 |
| 1750360285 | Kramm Nursing Home, Inc. | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2006-01-12 |
| 1144723297 | Monnette Cabral Sario | Physical Therapist | 245 E 8th St, Watsontown, PA 17777-1033 | 2018-03-15 |
| 1821532342 | Watsontown Operating, LLC | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2016-12-19 |
| 1558601013 | Watsontown Nursing and Rehabilitation Center Lp | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2013-02-21 |
| 1144518408 | Team Watsontown Healthcare LLC | Skilled Nursing Facility | 245 E 8th St, Watsontown, PA 17777-1033 | 2011-07-20 |
| 1528371606 | Jonelle Elizabeth Holmes | Physical Therapist | 245 E 8th St, Watsontown, PA 17777-1033 | 2010-07-19 |
| 1336377902 | Heather Booth | Speech-Language Pathologist | 245 E 8th St, Watsontown, PA 17777-1033 | 2009-06-23 |
| 1346369949 | Amy Jolene Bryan | Occupational Therapy Assistant | 245 E 8th St, Watsontown, PA 17777-1033 | 2007-03-28 |
| Find all providers in zip 17777 | ||||
| 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] |
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| 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 |
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| 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 | WATSONTOWN |
| Zip Code | 17777 |
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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.