MERAKEY PENNSYLVANIA (NPI# 1669617569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669617569 |
| Entity Type | Organization |
| Organization Name | MERAKEY PENNSYLVANIA |
| Other Organization Name | NHS PENNSYLVANIA |
| Practice Address |
185 Fallbrook St Carbondale PA 18407-1861 |
| Mailing Address |
4391 Sturbridge Dr Harrisburg PA 17110-3673 |
| Practice Telephone | 7174419565 |
| Mailing Telephone | 7174419565 |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| NHS Human Services | Other Name - Individual/Organization |
| NHS Pennsylvania | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285139923 | Merakey Pennsylvania | Case Management | 260 Ohio River Blvd, Baden, PA 15005-1914 | 2018-03-26 |
| 1437651544 | Merakey Pennsylvania | Community/Behavioral Health | 11 Anthra Plaza Ctr, Coal Township, PA 17866-4199 | 2018-03-05 |
| 1740789312 | Merakey Pennsylvania | Community/Behavioral Health | 1808 Glenmar Ave, Monroe, LA 71201-4932 | 2018-02-08 |
| 1285145979 | Merakey Pennsylvania | Behavioral Analyst | 14088 W Club Deluxe Rd, Hammond, LA 70403-1000 | 2017-10-20 |
| 1417391590 | Merakey Pennsylvania | Community/Behavioral Health | 1401 Hudson Ln Ste 225, Monroe, LA 71201-6032 | 2013-04-19 |
| 1215371398 | Merakey Pennsylvania | Community/Behavioral Health | 44617 S Airport Rd Ste C&d, Hammond, LA 70403-0311 | 2013-04-19 |
| 1336488519 | Merakey Pennsylvania | Community/Behavioral Health | 108 Cedarwood Cir, Russellton, PA 15076-1336 | 2013-02-07 |
| 1174862403 | Merakey Pennsylvania | Community/Behavioral Health | 107 Cedarwood Cir, Russellton, PA 15076-1301 | 2013-02-06 |
| 1316209307 | Merakey Pennsylvania | Community/Behavioral Health | 515 Delaware Ave, Fountain Hill, PA 18015-1103 | 2012-06-14 |
| 1033484019 | Merakey Pennsylvania | Community/Behavioral Health | 106 Heymann Blvd, Lafayette, LA 70503-2322 | 2012-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MERAKEY PENNSYLVANIA | 620 Germantown Pike, Lafayette Hill, Pennsylvania 19444 |
| Street Address |
185 FALLBROOK ST |
| City | CARBONDALE |
| State | PA |
| Zip Code | 18407-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194784082 | John Michael Shovlin | Psychiatry & Neurology | 185 Fallbrook St, Carbondale, PA 18407-0514 | 2006-03-21 |
| 1104159698 | Merakey Pennsylvania | Community/Behavioral Health | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2009-09-15 |
| 1083859755 | Merakey Pennsylvania | Community/Behavioral Health | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2008-12-10 |
| 1093950073 | Merakey Pennsylvania | Case Management | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2008-12-04 |
| 1598912552 | Georgeanna Gawrys | Social Worker | 185 Fallbrook St, Carbondale, PA 18407-0514 | 2008-08-21 |
| 1902082472 | Tri County Human Services Center Inc | Psychologist | 185 Fallbrook St, Carbondale, PA 18407-0514 | 2008-01-15 |
| 1114126349 | Tri County Human Services Center Inc | Clinic/Center | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2007-07-17 |
| 1245378454 | Joan Roche | Counselor | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2007-02-01 |
| 1275644437 | Donald A Gregory | Psychologist | 185 Fallbrook St, Carbondale, PA 18407-0514 | 2006-08-31 |
| 1235195678 | Shirley A Gardner | Counselor | 185 Fallbrook St, Carbondale, PA 18407-1861 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761784 | Ashley Ettinger | Counselor | 38 North Scott Road, Carbondale, PA 18407 | 2020-02-12 |
| 1639723109 | Dana Marie Marmo | Counselor | 141 Salem Ave Suite 104, Carbondale, PA 18407 | 2019-08-01 |
| 1831694991 | William Vitzakovitch | Physical Therapist | 504 1/2 Scranton Carbondale Hwy, Mayfield, PA 18407 | 2018-03-29 |
| 1205345014 | The Young Men's Christian Association of Carbondale | Health Educator | 82 N Main Street, Carbondale, PA 18407 | 2017-09-25 |
| 1942722327 | Jamee Ruddy | Early Intervention Provider Agency | 77 Jefferson Street, Simpson, PA 18407 | 2017-07-07 |
| 1417181082 | Paul Erik Larson | Specialist/Technologist | 101 Brooklyn Street/business Route 6, Carbondale, PA 18407 | 2009-05-11 |
| 1316061708 | Christine Marie Roberts | Occupational Therapist | Carbondale Nursing Home, 10 Hart Place, Carbondale, PA 18407 | 2007-03-19 |
| 1407944036 | Brian John Piatak | Chiropractor | 30 N Scott Street, Carbondale, PA 18407 | 2006-10-10 |
| 1427556133 | Brianna Marie Bennici | Occupational Therapy Assistant | 45 N Scott St, Carbondale, PA 18407 | 2018-01-28 |
| 1144632332 | Dannielle S Hafler | Social Worker | 32 N Main St, Carbondale, PA 18407 | 2014-05-22 |
| Find all providers in zip 18407 | ||||
| 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 |
|---|---|---|---|---|
| 1194212282 | Bright Beginnings Therapeutic Services, LLC | Community/Behavioral Health | 41 N Main St Ste 310, Carbondale, PA 18407-2381 | 2018-04-16 |
| 1235504184 | Ascendigo Autism Services, Inc. | Community/Behavioral Health | 818 Industry Way, Carbondale, CO 81623-2508 | 2015-12-03 |
| 1326420068 | Hope Springs Counseling | Community/Behavioral Health | 1418 Country Road 107, Carbondale, CO 81623 | 2015-06-18 |
| 1740521285 | Southern Illinois Center for Art & Play Therapy LLC | Community/Behavioral Health | 105 N Emerald Ln, Suite C, Carbondale, IL 62901-2168 | 2013-03-08 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1164726261 | Garfield Day Treatment Porgram | Community/Behavioral Health | 520 S 3rd St, Suite 24, Carbondale, CO 81623-2059 | 2011-01-04 |
| 1205074630 | Southern Illinois Regional Social Services | Community/Behavioral Health | 250 S Lewis Ln, Carbondale, IL 62901-3409 | 2009-01-22 |
| 1083851182 | Southern Il Regional Social Services | Community/Behavioral Health | 602 E College St, Carbondale, IL 62901-3309 | 2009-01-12 |
| 1891932992 | Southern Illinois Regional Social Service | Community/Behavioral Health | 212 S Lake Heights Ave, Carbondale, IL 62901-3463 | 2009-01-12 |
| 1932251758 | Southern Illinois Regional Social Services | Community/Behavioral Health | 604 E College St, Carbondale, IL 62901-3309 | 2007-01-18 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 18407 |
Please comment or provide details below to improve the information on MERAKEY PENNSYLVANIA.
| 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.