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KIDSPEACE CHILDREN'S HOSPITAL, INC.
NPI 1124163910
Clinic/Center - Adolescent and Children Mental Health in Bethlehem, PA

Active since February 20, 2007
1620 BROADWAY, BETHLEHEM, PA 18015(610) 799-8222(610) 867-2233 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2021, May 21, 2020, Mar 6, 2019 and 2 more (5 updates tracked since 2017).

About Kidspeace Children's Hospital, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDSPEACE CHILDREN'S HOSPITAL, INC. (NPI 1124163910) is a healthcare organization registered as an adolescent and children mental health in Bethlehem, Pennsylvania and active in the NPI registry since February 2007. The organization lists Michael Slack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124163910
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameKIDSPEACE CHILDREN'S HOSPITAL, INC.
Location Address1620 BROADWAYBethlehem, PA 18015-3904
Mailing Address4085 Independence DrSchnecksville, PA 18078 · (800) 854-3123 · Fax (610) 799-8318
Phone(610) 799-8222
Fax(610) 867-2233
Organization SubpartNo
Authorized OfficialMichael SlackCeo · (610) 799-8405
Enumeration DateFebruary 20, 2007
Last NPPES UpdateJuly 16, 20255 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1124163910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

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.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1620 BROADWAY, Bethlehem, PA 18015
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Other Identifiers 1

Medicaid100728370-0042PA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN MAE HERBERT MSW
Social Worker
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
MRS. SHANNON MICHELLE MINNICK M.A.
Counselor (Professional)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
ANYA SHAUNESSY
Nurse Practitioner (Psychiatric/Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
EMILY LYNN SNYDER MS
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-7652
COLLYN PIERCE DORNEY
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
KATERINA SKLODOWSKY BA
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
MS. STEPHANIE DE JESUS
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600
LAQUE NICHOLAS M.A
Counselor (Mental Health)
1620 BROADWAY
BETHLEHEM, PA 18015
Northampton County (610) 799-8600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidspeace Children's Hospital, Inc.'s NPI number?

The NPI number for Kidspeace Children's Hospital, Inc. is 1124163910. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Kidspeace Children's Hospital, Inc. located?

Kidspeace Children's Hospital, Inc. is located at 1620 Broadway, Bethlehem, PA 18015. The listed phone number is (610) 799-8222.

What is Kidspeace Children's Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Kidspeace Children's Hospital, Inc. was last updated on July 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.