HARBORCREEK YOUTH SERVICES
NPI 1033232806
Psychiatric Residential Treatment Facility in Harborcreek, PA

NPI Status: Active since April 09, 2007

Contact Information

5712 IROQUOIS AVE
ST. JOSEPH'S HOUSE
HARBORCREEK, PA
ZIP 16421
Phone: (814) 899-7664
Fax: (814) 899-3075

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About HARBORCREEK YOUTH SERVICES

This page provides the complete NPI Profile along with additional information for Harborcreek Youth Services, a provider established in Harborcreek, Pennsylvania operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1033232806 assigned on April 2007. The practitioner's primary taxonomy code is 323P00000X with license number 404540 (PA). The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Mr. John D. Petulla Msw (Chief Executive Officer)

NPI
1033232806
Provider Name
HARBORCREEK YOUTH SERVICES
Entity Type
Organization
Location Address
5712 IROQUOIS AVE ST. JOSEPH'S HOUSE HARBORCREEK, PA 16421
Location Phone
(814) 899-7664
Location Fax
(814) 899-3075
Mailing Address
5712 IROQUOIS AVE HARBORCREEK, PA 16421
Mailing Phone
(814) 899-7664
Mailing Fax
(814) 899-3075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2007
Last Update Date
05-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
404540
License State
PA
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOHN D. PETULLA MSW

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(814) 899-7664

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001410380 0020MEDICAID (05)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033232806
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206343480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 3 + 4 + 8 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033232806 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861673899MR. BERNIE LUCAS M.ED.
Individual
Counselor (Addiction (Substance Use Disorder))5712 IROQUOIS AVE
HARBORCREEK, PA 16421
(814) 899-7664
1508019886HARBORCREEK YOUTH SERVICES
Organization
Foster Care Agency5712 IROQUOIS AVE
HARBORCREEK, PA 16421
(814) 899-7664
1235250432HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE CONWAY HOUSE
HARBORCREEK, PA 16421
(814) 899-7664
1033230230HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE HASTINGS HOUSE
HARBORCREEK, PA 16421
(814) 899-7664
1942321146HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE WAGNER HOUSE
HARBORCREEK, PA 16421
(814) 899-7664
1750402954HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE COLUMBUS HOUSE
HARBORCREEK, PA 16421
(814) 899-7664
1780397232HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE
HARBORCREEK, PA 16421
(814) 899-7664
1336301092COMMUNITY HEALTH NET
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))5712 IROQUOIS AVE
HARBORCREEK, PA 16421
(814) 455-7222
1205678950HARBORCREEK YOUTH SERVICES
Organization
Psychiatric Residential Treatment Facility5712 IROQUOIS AVE
HARBORCREEK, PA 16421
(814) 899-7664
1740287622HARBORCREEK YOUTH SERVICES
Organization
Community/Behavioral Health5712 IROQUOIS AVE MST IBHS PROGRAM
HARBORCREEK, PA 16421
(814) 899-7664

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033232806, enumerated in the NPI registry as an "organization" on April 09, 2007

The provider is located at 5712 Iroquois Ave St. Joseph's House Harborcreek, Pa 16421 and the phone number is (814) 899-7664

This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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