CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC (NPI# 1700861242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700861242 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S SERVICE CENTER OF WYOMING VALLEY INC |
| Practice Address |
335 S Franklin St Wilkes Barre PA 18702-3808 |
| Practice Telephone | 5708256425 |
| Practice Fax Number | 5703013330 |
| Mailing Telephone | 5708256425 |
| Mailing Fax Number | 5703013330 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MRS. SHARON PISARCIK (CFO) |
| Authorized Official Telephone | 5708256425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
100728011 | PA | Allopathic & Osteopathic Physicians |
| N | 103T00000X | Psychologist | 100728011 | PA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
100728011 | PA | Behavioral Health & Social Service Providers |
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
100728011 | PA | Nursing Service Providers |
| Y | 101Y00000X | Counselor | 100728011 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100728011 | 05 |
| Street Address |
335 S FRANKLIN ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437131141 | John Theroux | Psychiatry & Neurology | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2005-11-17 |
| 1023644101 | Lauren Kelly | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-20 |
| 1396371647 | Kayla Cooper | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-19 |
| 1700411949 | Sylena Jane Parham | Nurse Practitioner | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-09 |
| 1518590363 | Brittani Mosiniak | Nurse Practitioner | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-02-20 |
| 1497310130 | Rebecca Zebley | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2019-05-08 |
| 1710453568 | Jennifer Lynn Reklaitis | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702 | 2018-10-19 |
| 1205302122 | Jessy Miller | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2018-10-18 |
| 1225503956 | Eric Alan Pollick Jr. | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2018-10-09 |
| 1427559970 | Lauryn Mizuhara | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649759 | Samantha Price | Counselor | 65 N Washington St Ste 1, Wilkes Barre, PA 18701-3119 | 2020-08-10 |
| 1023644101 | Lauren Kelly | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-20 |
| 1396371647 | Kayla Cooper | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2020-03-19 |
| 1679692297 | Anny Ha | Counselor | 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | 2007-03-28 |
| 1639208606 | Ann Sebo | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2007-03-05 |
| 1104955046 | Daniel Belletieri | Counselor | 335 S Franklin St, Wilkes Barre, PA 18702-3808 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810781 | Marina Kogot James | Counselor | 123 New St, Glenside, PA 19038-4511 | 2020-10-30 |
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1245838309 | Karen Cowell | Counselor | 220 Redfield Dr, Oakdale, PA 15071-1732 | 2020-10-12 |
| 1235737412 | Tara Jenkins | Counselor | 6701 Woolston Ave, Philadelphia, PA 19138-2628 | 2020-10-11 |
| 1124635339 | Elizabeth Hoffman Sporer | Counselor | 1318 Marlborough St, Philadelphia, PA 19125-3215 | 2020-09-30 |
| 1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
| 1235745209 | Kelli Ann Frey | Counselor | 523 Lenore Pl, Reading, PA 19609-1223 | 2020-09-16 |
| 1750996179 | Angelina Privitera | Counselor | 1093 Douglass Dr, Apt A, Boyertown, PA 19512 | 2020-09-11 |
| 1437764933 | Elizabeth Richburg | Counselor | 5709 W Jefferson St, Philadelphia, PA 19131-3417 | 2020-09-11 |
| 1366057135 | Meg Barnes | Counselor | 3501 Forbes Ave # 9, Pittsburgh, PA 15213-3317 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on CHILDREN'S SERVICE CENTER OF WYOMING VALLEY 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.