KIDSPEACE NATIONAL CENTERS, INC (NPI# 1831630516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831630516 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS, INC |
| Practice Address |
5300 Kidspeace Dr Orefield PA 18069-2044 |
| Mailing Address |
4085 Independence Dr Schnecksville PA 18078-2574 |
| Practice Telephone | 8008543123 |
| Mailing Telephone | 6107998525 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | MICHAEL SLACK (COO) |
| Authorized Official Telephone | 6107998405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 207040 | PA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386870871 | Kidspeace National Centers, Inc | Case Management | 1650 Broadway, Bethlehem, PA 18015-3904 | 2009-06-10 |
| Street Address |
5300 KIDSPEACE DR |
| City | OREFIELD |
| State | PA |
| Zip Code | 18069-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497741094 | Michael G Wissler | Family Medicine | 5300 Kidspeace Dr, Kidspeace National Centers, Inc., Orefield, PA 18069-2044 | 2005-09-20 |
| 1639785991 | David Sullivan Jr. | Nurse Practitioner | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-09-21 |
| 1538793658 | Kidspeace National Center, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-02-27 |
| 1407496854 | Diane Lilajoyce Janosik | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2020-01-14 |
| 1427693845 | Kristi Culp | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-11-08 |
| 1841841426 | Katherine Molina | Counselor | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-09-24 |
| 1336790013 | Jade Elizabeth Radigan | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2019-09-24 |
| 1295394716 | Jessica Marie West | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2019-06-08 |
| 1548824170 | Shayna J Castagna | Physician Assistant | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2019-04-29 |
| 1871068452 | Jana Louise Hill | Dietitian, Registered | 5300 Kidspeace Dr, Orefield, PA 18069-2098 | 2018-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153320 | Julie Sikorsky | Behavioral Analyst | 2909 Pa-100, #110, Orefield, PA 18069 | 2020-08-05 |
| 1356909774 | Katie Michelle Noraas | Behavior Technician | 2909 Pa 100, Suite Number 110, Orefield, PA 18069 | 2019-05-31 |
| 1629632385 | Cody Brenneman | Physical Therapist | 3560 Pa-309, Orefield, PA 18069 | 2019-04-29 |
| 1538643028 | Meghan Emily Heubel | Specialist | 2909 Pa-100 #100, Orefield, PA 18069 | 2018-09-20 |
| 1124477542 | Lisa H.helene Mackeverican | Doula | 3715 Lindy Dr., Orefield, PA 18069 | 2016-06-07 |
| 1336424803 | Pediatric Stars Home Health Agency, LLC | Nursing Care | 5237 Blue Sky Drive, Orefield, PA 18069 | 2011-10-17 |
| 1477762920 | Cary Lee Lehman | Dentist | 5923 Chapmans Rd, Orefield, PA 18069 | 2007-05-22 |
| 1811032238 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069 | 2007-02-21 |
| 1558407924 | Conrad G Maulfair Jr. | Family Medicine | 2970 Corporate Court, Suite 1, Orefield, PA 18069 | 2007-01-30 |
| 1366515314 | Zhihong Zheng | Acupuncturist | 2340 Pa Route 309, Orefield, PA 18069 | 2006-11-16 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811032238 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069 | 2007-02-21 |
| 1538793658 | Kidspeace National Center, Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2000 | 2020-02-27 |
| 1477094159 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2017-03-15 |
| 1194266874 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2017-03-15 |
| 1760926166 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-12-05 |
| 1225572621 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-12-05 |
| 1417400359 | Kidspeace National Centers, Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2016-07-27 |
| 1396023875 | Kidspeace National Centers Inc. | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2011-08-01 |
| 1366744476 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Drive, Orefield, PA 18069-2044 | 2010-11-22 |
| 1871733832 | Kidspeace National Centers Inc | Psychiatric Residential Treatment Facility | 5300 Kidspeace Dr, Orefield, PA 18069-2044 | 2009-03-03 |
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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.