HOLCOMB BEHAVIORAL HEALTH SYSTEMS (NPI# 1528404134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528404134 |
Entity Type | Organization |
Organization Name | HOLCOMB BEHAVIORAL HEALTH SYSTEMS |
Practice Address |
400 Creekside Dr Ste., 403 Pottstown PA 19464-9219 |
Mailing Address |
467 Creamery Way Exton PA 19341-2508 |
Practice Telephone | 6103631488 |
Practice Fax Number | 6103638273 |
Mailing Telephone | 6103631488 |
Mailing Fax Number | 6103638273 |
Enumeration Date | 2013-05-22 |
Last Update Date | 2013-05-22 |
Authorized Official Name | BILL DIFABIO (COO) |
Authorized Official Telephone | 6103631488 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689954190 | Holcomb Behavioral Health Systems | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3112 Cochran Dr, Lancaster, PA 17601-1512 | 2011-08-29 |
1861700361 | Holcomb Behavioral Health Systems | Community Based Residential Treatment Facility, Mental Illness | 290 Kirk Ln, Media, PA 19063-2216 | 2010-09-17 |
1053629550 | Holcomb Behavioral Health Systems | Community Based Residential Treatment Facility, Mental Illness | 115 Burmont Rd, Apartment A, Drexel Hill, PA 19026-2041 | 2010-09-17 |
1952619462 | Holcomb Behavioral Health Systems | Community Based Residential Treatment Facility, Mental Illness | 1021 Cherry Tree Rd, Aston, PA 19014-1540 | 2010-09-17 |
1952631657 | Holcomb Behavioral Health Systems | Community/Behavioral Health | 1041 W Bridge St Ste 1, Phoenixville, PA 19460-4342 | 2010-01-04 |
1427381177 | Holcomb Behavioral Health Systems | Clinic/Center | 1308 West Chester Pike, West Chester, PA 19382-6423 | 2009-09-14 |
1134352107 | Holcomb Behavioral Health Systems | Clinic/Center | 1 Indian Hollow Rd, Kennett Square, PA 19348-1005 | 2009-08-25 |
1730351693 | Holcomb Behavioral Health Systems | Community/Behavioral Health | 1013 Haddon Ave, Collingswood, NJ 08108-2010 | 2008-03-31 |
1285160101 | Holcomb Behavioral Health Systems | Community/Behavioral Health | 1011 Reed Ave, Suite 900, Wyomissing, PA 19610-2002 | 2017-05-11 |
1043656085 | Holcomb Behavioral Health Systems | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Delaware Ave, Ridley Park, PA 19078-1620 | 2013-05-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HOLCOMB BEHAVIORAL HEALTH SYSTEMS | 467 Creamery Way, Exton, PA 19341-2508 |
Street Address |
400 CREEKSIDE DR STE., 403 |
City | POTTSTOWN |
State | PA |
Zip Code | 19464-9219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093746240 | Corinne A Mclaughlin | Social Worker | 400 Creekside Dr, Suite 403, Pottstown, PA 19464-9219 | 2006-07-05 |
1982219770 | Andrew Sungdo Son | Counselor | 400 Creekside Dr, Pottstown, PA 19464-9219 | 2020-09-09 |
1457779670 | Tim Molitor | Social Worker | 400 Creekside Dr, Pottstown, PA 19464-9219 | 2014-04-04 |
1578717666 | Stacy Caldwell | Social Worker | 400 Creekside Dr, Suite 403, Pottstown, PA 19464-9219 | 2008-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
Find all providers in zip 19464 |
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 |
---|---|---|---|---|
1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
1588973465 | Mental Health Partnerships | Community/Behavioral Health | 414 High Street, Pottstown, PA 19464 | 2010-09-27 |
1174687974 | Gateway Counseling Services LLC | Community/Behavioral Health | 1700 E High St, Suite 250, Pottstown, PA 19464-9226 | 2006-12-19 |
1881246163 | Gateway Counseling Services LLC | Community/Behavioral Health | 1800 E High St Ste 250, Pottstown, PA 19464-9226 | 2019-07-16 |
1649703422 | Hostetter Counseling LLC | Community/Behavioral Health | 1200 E High St, Suite 306, Pottstown, PA 19464-4954 | 2017-04-07 |
1346427622 | Child and Family Support Services, Inc | Community/Behavioral Health | 1250 Ridge Rd, Pottstown, PA 19465-8704 | 2008-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
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 |
1538771449 | Recovery Support Worx Co. | Community/Behavioral Health | 300 Catherine St Fl 1, Mc Kees Rocks, PA 15136-2817 | 2020-08-21 |
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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.