WESTERN PA BEHAVIORAL HEALTH RESOURCES (NPI# 1841432184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841432184 |
| Entity Type | Organization |
| Organization Name | WESTERN PA BEHAVIORAL HEALTH RESOURCES |
| Practice Address |
6381 National Pike Grindstone PA 15442-1190 |
| Practice Telephone | 7247854346 |
| Practice Fax Number | 7243647117 |
| Mailing Telephone | 7247854346 |
| Mailing Fax Number | 7243647117 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | GEITH SHAHOUD (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7247854346 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MD423515 | PA | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MD423515 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020795770004 | 05 |
| Street Address |
6381 NATIONAL PIKE |
| City | GRINDSTONE |
| State | PA |
| Zip Code | 15442-1190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033545793 | Jessica M Spahr | Social Worker | 6353 National Pike Rd, Grindstone, PA 15442 | 2013-09-25 |
| 1013467406 | Elizabeth Ann Roberts | Physician Assistant | 111 Roberts Rd Ste 200, Grindstone, PA 15442-1105 | 2016-10-10 |
| 1952664286 | Rebecca Lynn Baumiller | Counselor | 111 Roberts Rd, Suite 150, Grindstone, PA 15442-1105 | 2012-06-21 |
| 1508866658 | Linda Marie Burstynowicz | Internal Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2005-07-29 |
| 1710437348 | Fayette Physician Network | Physician Assistant | 111 Roberts Rd, Grindstone, PA 15442-1105 | 2016-10-06 |
| 1245623453 | Fayette Physician Network Inc | Non-Pharmacy Dispensing Site | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2015-03-12 |
| 1710389994 | Fayette Physician Network Inc | Family Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2014-09-19 |
| 1073950457 | Deanna Elizabeth Sikora | Counselor | 111 Roberts Rd, Suite 150, Grindstone, PA 15442-1105 | 2013-05-26 |
| 1659575041 | Gilbert B Perez | Family Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2007-06-12 |
| 1427022706 | Fayette Medical Associates Inc | Family Medicine | 111b Roberts Rd, Grindstone, PA 15442-1105 | 2006-02-14 |
| Find all providers in zip 15442 | ||||
| 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 |
|---|---|---|---|---|
| 1255930368 | Marley's Mission Inc | Clinic/Center | 2150 Port Royal Rd, Clarks Summit, PA 18411-9660 | 2020-10-20 |
| 1073123907 | Dr. Cristin Hall Psychotherapy, LLC | Clinic/Center | 315 S Allen St Ste 219, State College, PA 16801-4850 | 2020-08-05 |
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1336775022 | Mindful Behavioral Health LLC | Clinic/Center | 134 S Highland Ave Ste 7, Pittsburgh, PA 15206-3968 | 2020-03-13 |
| 1538790720 | Mission Autism Clinics LLC | Clinic/Center | 9 Banks Ave, Mcadoo, PA 18237-2508 | 2020-01-28 |
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1932744513 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 1430 W Allen St, Allentown, PA 18102-2146 | 2019-11-07 |
| 1447894589 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 137 N 2nd St, Allentown, PA 18101-1935 | 2019-11-01 |
| 1972147023 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 709 W Emaus Ave, Allentown, PA 18103-6778 | 2019-11-01 |
| 1396399697 | The Counseling and Wellness Center of Wyomissing | Clinic/Center | 560 Van Reed Rd Ste 206, Wyomissing, PA 19610-1799 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GRINDSTONE |
| Zip Code | 15442 |
Please comment or provide details below to improve the information on WESTERN PA BEHAVIORAL HEALTH RESOURCES.
| 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.