WHITE DEER RUN, INC. (NPI# 1629322797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629322797 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC. |
| Other Organization Name | LEHIGH COUNTY CENTER FOR RECOVERY |
| Practice Address |
1620 Riverside Dr Bethlehem PA 18015 |
| Mailing Address |
110 Main St Watsontown PA 17777-1740 |
| Practice Telephone | 5705383302 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MR. JOSEPH PROCOPIO (REGIONAL PRESIDENT) |
| Authorized Official Telephone | 5705223947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100756787 0102 | 05 | |
| PA | 100756787 | 05 |
| Other Name | Type Code |
|---|---|
| Lehigh County Center for Recovery | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WHITE DEER RUN, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Street Address |
1620 RIVERSIDE DR |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| 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 |
|---|---|---|---|---|
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1265998454 | Dawn Crook | Community/Behavioral Health | 509 Harry Mccarty Rd, Bethlehem, GA 30620-1707 | 2019-02-13 |
| 1881902906 | Carbon Lehigh Intermediate Unit 21 | Community/Behavioral Health | 5438 Route 378, Bethlehem, PA 18015-9075 | 2010-09-23 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1821325168 | Merakey Pennsylvania | Community/Behavioral Health | 4013 Coleman St, Bethlehem, PA 18020-2856 | 2009-11-06 |
| 1386813491 | Merakey Pennsylvania | Community/Behavioral Health | 701 W Broad St Ste 100, Bethlehem, PA 18018-5229 | 2008-02-22 |
| 1366649741 | Lehigh University Centennial School | Community/Behavioral Health | 2196 Avenue C, Bethlehem, PA 18017-2120 | 2007-06-29 |
| 1053430611 | Valley Youth House Committee Inc | Community/Behavioral Health | 3400 High Point Blvd, Bethlehem, PA 18017-7815 | 2007-03-28 |
| 1396354155 | Holistic Journey Counseling, LLC | Community/Behavioral Health | 3708 Freemansburg Ave Unit 2, Bethlehem, PA 18020-6512 | 2020-07-28 |
| 1972136521 | Kidspeace National Centers, Inc. | Community/Behavioral Health | 1620 Broadway, Bethlehem, PA 18015-3904 | 2020-02-21 |
| Find all providers in BETHLEHEM | ||||
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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.