WHITE DEER RUN, INC (NPI# 1659570299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659570299 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Other Organization Name | WHITE DEER RUN OF YORK |
| Practice Address |
106 Davies Dr York PA 17402-8605 |
| Practice Telephone | 8002552335 |
| Mailing Telephone | 8002552335 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | MR. TOM CALLAHAN (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 8008732131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3736092 | PA | Behavioral Health & Social Service Providers |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
3736092 | PA | Behavioral Health & Social Service Providers |
| N | 261Q00000X | Clinic/Center | 3736092 | PA | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 3736092 | PA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870085 | 05 | |
| PA | 100756787 | 05 |
| Other Name | Type Code |
|---|---|
| White Deer Run of York | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1528339215 | White Deer Run, Inc | Community/Behavioral Health | 110 Main St, Watsontown, PA 17777-1740 | 2012-01-26 |
| 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 |
106 DAVIES DR |
| City | YORK |
| State | PA |
| Zip Code | 17402-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| 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 |
|---|---|---|---|---|
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1184278509 | Commonwealth Clinical Group, Inc. | Community/Behavioral Health | 1 E Market St Ste 402, York, PA 17401-1611 | 2019-07-25 |
| 1003472754 | Rising Youth LLC | Community/Behavioral Health | 302 California St, York, SC 29745-1430 | 2019-05-17 |
| 1710432844 | T W Ponessa | Community/Behavioral Health | 725 Cortleigh Dr, York, PA 17402-4124 | 2016-08-18 |
| 1396100640 | Keystone Service Systems, Inc | Community/Behavioral Health | 1926 E Market St, York, PA 17402-2836 | 2015-12-30 |
| 1801203781 | Miayen, Inc. | Community/Behavioral Health | 221 Mighty Joe Trl, York, SC 29745-2667 | 2014-07-12 |
| 1497050041 | Pennsylvania Comprehensive Counseling Services Inc. | Community/Behavioral Health | 3401 Merlot Ct, York, PA 17404-8617 | 2011-01-12 |
| 1841500410 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 313 E. King Street, York, PA 17403 | 2010-10-18 |
| 1942532452 | Living Life | Community/Behavioral Health | 2661 N Sherman St, York, PA 17406-2331 | 2010-02-08 |
| 1033356175 | Keystone Service Systems, Inc | Community/Behavioral Health | 2915 N George St Ste 3, York, PA 17406-3075 | 2009-01-12 |
| Find all providers in YORK | ||||
Please comment or provide details below to improve the information on WHITE DEER RUN, INC.
| 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.