KIDSPEACE CHILDREN'S HOSPITAL, INC.
NPI 1083048920
Clinic/Center - Adolescent and Children Mental Health in Temple, PA
NPI Status: Active since August 28, 2013
Contact Information
704 HAY RD
TEMPLE, PA
ZIP 19560
Phone: (800) 854-3123
Fax: (610) 799-8318
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
- CLIA Number: 39D2252639
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 02-13-2026
About KIDSPEACE CHILDREN'S HOSPITAL, INC.
This page provides the complete NPI Profile along with additional information for Kidspeace Children's Hospital, Inc., a provider established in Temple, Pennsylvania operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1083048920 assigned on August 2013. The practitioner's primary taxonomy code is 261QM0855X with license number 218750 (PA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Michael Slack (Chief Operating Officer)
- NPI
- 1083048920
- Provider Name
- KIDSPEACE CHILDREN'S HOSPITAL, INC.
- Entity Type
- Organization
- Location Address
- 704 HAY RD TEMPLE, PA 19560
- Location Phone
- (800) 854-3123
- Location Fax
- (610) 799-8318
- Mailing Address
- 4085 INDEPENDENCE DR SCHNECKSVILLE, PA 18078
- Mailing Phone
- (800) 854-3123
- Mailing Fax
- (610) 799-8318
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2013
- Last Update Date
- 08-11-2017
- Code Navigator
Location Map
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
Clinic/Center Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 218750
- License State
- PA
- Taxonomy Description
- 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.
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.
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 |
|---|---|---|---|
| 100728370-0016 | MEDICAID (05) | PA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2252639
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- February 14, 2024
- Certificate Expiration Date
- February 13, 2026
- Laboratory Director
- DR. DOUGLAS J. BERNE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kidspeace Children's Hospital, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 0 | 8 | 3 | 0 | 4 | 8 | 9 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 0 | 4 | 16 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 0 + 4 + 1 + 6 + 9 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1083048920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760402283 | DOUGLAS J BERNE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 704 HAY RD TEMPLE, PA 19560 (610) 799-7810 |
| 1124791884 | NOEL CHIN MARTINEZ MA Individual | Counselor (Mental Health) | 704 HAY RD TEMPLE, PA 19560 (610) 799-7827 |
| 1467597161 | KIDSPEACE NATIONAL CENTERS, INC. Organization | Clinic/Center (Adolescent and Children Mental Health) | 704 HAY RD TEMPLE, PA 19560 (800) 854-3123 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083048920, enumerated in the NPI registry as an "organization" on August 28, 2013
The provider is located at 704 Hay Rd Temple, Pa 19560 and the phone number is (800) 854-3123
This medical organization specializes in Clinic/Center with taxonomy code 261QM0855X with a focus in Adolescent and Children Mental Health
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.
The provider's CLIA number is 39D2252639 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 28, 2013. 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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