FAMILY SERVICE ASSOCIATION (NPI# 1649698879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649698879 |
Entity Type | Organization |
Organization Name | FAMILY SERVICE ASSOCIATION |
Practice Address |
1800 Keystone St Croydon PA 19021-6830 |
Mailing Address |
4 Cornerstone Dr Langhorne PA 19047-1314 |
Practice Telephone | 2157887995 |
Practice Fax Number | 2157811468 |
Mailing Telephone | 2157576916 |
Mailing Fax Number | 2157572115 |
Enumeration Date | 2014-04-04 |
Last Update Date | 2014-04-04 |
Authorized Official Name | MS. AUDREY TUCKER (CHEIF EXECUTIVE OFFICER) |
Authorized Official Telephone | 2157576916 |
Authorized Official Credential | MSW, LSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
12590 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100732890003 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538672878 | Family Service Association | Community/Behavioral Health | 17210 Slover Ave Ste 200, Fontana, CA 92337-7536 | 2017-11-08 |
1811412067 | Family Service Association | Community/Behavioral Health | 5888 Mission Blvd, Riverside, CA 92509-4256 | 2017-08-09 |
1467866889 | Family Service Association | Community/Behavioral Health | 661 Jackson Rd, Newtonville, NJ 08346 | 2014-06-13 |
1366861114 | Family Service Association | Clinic/Center | 4201 Fayette Dr, Bristol, PA 19007-2612 | 2014-04-09 |
1508297094 | Family Service Association | Community/Behavioral Health | 50391 Carmen Ave., Cabazon, CA 92230 | 2013-12-09 |
1164715009 | Family Service Association | Community/Behavioral Health | 625 S Pico Ave, San Jacinto, CA 92583-4130 | 2011-05-25 |
1962606475 | Family Service Association | Community/Behavioral Health | 8172 Magnolia Avenue, Riverside, CA 92504-3441 | 2007-06-11 |
1285739318 | Family Service Association | Voluntary or Charitable | 21250 Box Springs Road, Suite 106, Moreno Valley, CA 92557-8705 | 2006-09-13 |
1063442390 | Family Service Association | Clinic/Center | 184 Salem Ave, Suite 190, Dayton, OH 45406-5804 | 2006-07-03 |
1912958513 | Family Service Association | Counselor | 312 E White Horse Pike, Galloway, NJ 08205-9565 | 2006-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION | 151 Rock St, Fall River, MA 02720-3201 |
System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY | 4 Cornerstone Dr, Langhorne, PA 19047-1314 |
Massachusetts Corporations | FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC. | 101 Rock Street, Fall River, MA 02720 |
System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF LINCOLN | 501 S 7th St, Lincoln, NE 68508-2920 |
System for Award Management (SAM) Entities | FAMILY SERVICE ASSOCIATION OF WYOMING VALLEY | 31 W Market St, Wilkes Barre, PA 18701-1304 |
Connecticut Business Registrations | FAMILY SERVICE ASSOCIATION, INC. | Family Service Association Inc, 55 Wilcox Road, Stonington, CT 06378 |
Street Address |
1800 KEYSTONE ST |
City | CROYDON |
State | PA |
Zip Code | 19021-6830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356677553 | Karen Yvonne Emerling | Nurse Practitioner | 2900 River Road, Dow Chemical, Croydon, PA 19021 | 2009-10-22 |
1255701934 | Nimit Patel | Pharmacist | 1100 Newportville Rd Apt 111, Croydon, PA 19021-5019 | 2015-10-07 |
1346800729 | Pejmahn Eftekharzadeh | Internal Medicine | 1100 Newportville Rd Apt 535, Croydon, PA 19021-5033 | 2019-06-18 |
1962835736 | Tara Ann Sines | Behavioral Analyst | 1100 Newportville Rd, Apt 613, Croydon, PA 19021-5055 | 2013-08-15 |
1538176086 | Steven Michael Rubin | Technician/Technologist | 707 Bristol Pike, Croydon, PA 19021-5412 | 2006-08-01 |
1043215106 | Slakoper Inc | Pharmacy | 701 Bristol Pike, Croydon, PA 19021-5412 | 2005-06-16 |
1407191968 | Mathew Philip Slakoper | Pharmacist | 701 Bristol Pike, Croydon, PA 19021-5412 | 2012-12-10 |
1730357989 | Steven Rubin | Technician/Technologist | 707 Bristol Pike, Croydon, PA 19021-5412 | 2008-02-11 |
1740359298 | Samuel Young | Optometrist | 707 Bristol Pike, Croydon, PA 19021-5412 | 2006-11-07 |
1871862896 | Thomas Martin Krause | Technician/Technologist | 314 Bristol Pike, Croydon, PA 19021-5450 | 2011-12-20 |
Find all providers in zip 19021 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
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Find all providers with the same taxonomy |
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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.