BEACON LIGHT BEHAVIORAL HEALTH SYSTEM
NPI 1497087472
Psychiatric Residential Treatment Facility in Bradford, PA

NPI Status: Active since February 02, 2010

Contact Information

800 E MAIN ST
BRADFORD, PA
ZIP 16701
Phone: (814) 817-1400
Fax: (814) 817-1447

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Psychiatric Residential Treatment Facili...

About BEACON LIGHT BEHAVIORAL HEALTH SYSTEM

This page provides the complete NPI Profile along with additional information for Beacon Light Behavioral Health System, a provider established in Bradford, Pennsylvania operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1497087472 assigned on February 2010. The practitioner's primary taxonomy code is 323P00000X with license number 416020 (PA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Beacon Light Behavioral Health System. The authorized official of this NPI record is Mrs. Bridget V Mangold (Controller)

NPI: 1497087472
Provider Legal Name: CHILDREN'S CENTER FOR TREATMENT AND EDUCATION
Other Organization Name: BEACON LIGHT BEHAVIORAL HEALTH SYSTEM
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 800 E MAIN ST BRADFORD, PA 16701
Location Phone: (814) 817-1400
Location Fax: (814) 817-1447
Mailing Address: 800 E MAIN ST BRADFORD, PA 16701
Mailing Phone: (814) 817-1400
Mailing Fax: (814) 817-1447
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-02-2010
Last Update Date: 01-23-2017
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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: Psychiatric Residential Treatment Facility
Taxonomy Code: 323P00000X
Type: Residential Treatment Facilities
License No.: 416020
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	323P00000X	Residential Treatment Facilities	Psychiatric Residential Treatment Facility	332930 (PA)

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: MRS. BRIDGET V MANGOLD
Authorized Official Title: CONTROLLER
Authorized Official Phone: (814) 817-1400

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	4	9	7	0	8	7	4	7	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	18	7	0	8	14	4	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 0 + 8 + 1 + 4 + 4 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1497087472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 11 providers are registered at the same or nearby location.

CHILDRENS CENTER FOR TREATMENT AND EDUCATION

Psychologist

(Clinical)