COLONIAL INTERMEDIATE UNIT 20 (NPI# 1669594966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669594966 |
| Entity Type | Organization |
| Organization Name | COLONIAL INTERMEDIATE UNIT 20 |
| Practice Address |
3149 Chester Ave Bethlehem PA 18020-2866 |
| Mailing Address |
6 Danforth Rd Easton PA 18045-7899 |
| Practice Telephone | 6105156440 |
| Practice Fax Number | 6105156457 |
| Mailing Telephone | 6102525550 |
| Mailing Fax Number | 6105156524 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | DR. CHARLENE M BRENNAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6105156403 |
| Authorized Official Credential | D. ED |
| 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 | 10007544600033 | 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 |
3149 CHESTER AVE |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588745020 | Aaron Thomas Boggs | Specialist/Technologist | 3149 Chester Ave, Freedom High School, Bethlehem, PA 18020-2866 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1396868519 | Colonial Intermediate Unit 20 | Clinic/Center | 1650 Kenwood Dr, Bethlehem, PA 18017-2246 | 2007-04-10 |
| 1134342363 | Colonial Intermediate Unit 20 | Clinic/Center | 3300 Chester Ave, Bethlehem, PA 18020-2870 | 2007-04-10 |
| 1356463657 | Colonial Intermediate Unit 20 | Clinic/Center | 114 W Morton St, Bethlehem, PA 18015-1636 | 2007-04-06 |
| 1285756411 | Colonial Intermediate Unit 20 | Clinic/Center | 1110 Fernwood St, Bethlehem, PA 18018-3016 | 2007-04-06 |
| 1811032501 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-20 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1225559552 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1650 Broadway, Bethlehem, PA 18015-3904 | 2017-06-27 |
| 1326173360 | Kidspeace Childrens Hospital, Inc. | Clinic/Center | 1620 Broadway, Bethlehem, PA 18015-3904 | 2007-02-22 |
| 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.