COLONIAL INTERMEDIATE UNIT 20 (NPI# 1578685871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578685871 |
| Entity Type | Organization |
| Organization Name | COLONIAL INTERMEDIATE UNIT 20 |
| Practice Address |
800 Blue Mountain Drive Walnutport PA 18088-9211 |
| Mailing Address |
6 Danforth Rd Easton PA 18045-7820 |
| Practice Telephone | 6107671191 |
| Mailing Telephone | 6102525550 |
| Mailing Fax Number | 6105156524 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | DR. CHRISTOPHER S WOLFEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6105156403 |
| Authorized Official Credential | ED D |
| 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 | 100754460 | 05 |
| 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 |
| 1497273791 | Colonial Intermediate Unit 20 | Clinic/Center | 1002 West Union Blvd, Bethlehem, PA 18018-3509 | 2017-09-07 |
| 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 |
| Street Address |
800 BLUE MOUNTAIN DRIVE |
| City | WALNUTPORT |
| State | PA |
| Zip Code | 18088-9211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487036 | Shailen Patel | Pharmacist | 200 S Best Ave, Walnutport, PA 18088 | 2017-02-28 |
| 1730630104 | Ondrea Colonna-dotter | Specialist/Technologist | 4589 Ann Elizabeth Ct, Walnutport, PA 18088 | 2016-10-20 |
| 1417360306 | Megan Trinkle | Pharmacist | 200 S. Best Ave, Walnutport, PA 18088 | 2014-06-09 |
| 1659495059 | F. Joseph Werner, O.d. PC | Optometrist | 301 N. Best Ave, Walnutport, PA 18088 | 2007-03-19 |
| 1104950328 | Patricia Ann Dematto | Pharmacist | 200 South Best Ave, Walnutport, PA 18088 | 2007-03-16 |
| 1710037700 | Karen Marie Lehman | Dentist | 961 Riverview Dr, Walnutport, PA 18088 | 2007-01-11 |
| 1225199433 | Iradj Amirlak | Chronic Disease Hospital | Emirates International Hospital, Al Khabisi, Al Ain, ABU DHABI 18088 | 2006-12-12 |
| 1790227197 | Riverstone Manor LLC | Public Health or Welfare | 1 Main St, Walnutport, PA 18088-1023 | 2016-11-16 |
| 1154325629 | Thomas Edward Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2005-06-13 |
| 1295872901 | Cressman and Yablonski | Family Medicine | 215 N Best Ave, Walnutport, PA 18088-1204 | 2007-01-31 |
| Find all providers in zip 18088 | ||||
| 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] |
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| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WALNUTPORT |
| Zip Code | 18088 |
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.