KIDSPEACE NATIONAL CENTER, INC
NPI 1912042300
Clinic/Center - Adolescent and Children Mental Health in Pottsville, PA

Q: What is Kidspeace National Center, Inc's NPI number?

The NPI number for Kidspeace National Center, Inc is 1912042300. It was assigned to this organization in the NPPES registry on February 21, 2007.

Q: What is Kidspeace National Center, Inc's specialty?

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

Active since February 21, 2007

500 N CENTRE STREET SUITE 104, POTTSVILLE, PA 17901(570) 516-9987(570) 581-5103 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Oct 19, 2017, Jan 26, 2017 and 1 more (4 updates tracked since 2017).

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About Kidspeace National Center, Inc NPPES

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

KIDSPEACE NATIONAL CENTER, INC (NPI 1912042300) is a healthcare organization registered as an adolescent and children mental health in Pottsville, Pennsylvania and active in the NPI registry since February 2007. The organization lists Michael W Slack, Coo, as its authorized official.

NPPES Registry Identity

NPI1912042300

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameKIDSPEACE NATIONAL CENTER, INC

Location Address500 N CENTRE STREET SUITE 104Pottsville, PA 17901

Mailing Address4085 Independence DrSchnecksville, PA 18078 · (800) 854-3123 · Fax (610) 799-8318

Phone(570) 516-9987

Fax(570) 581-5103

Organization SubpartNo

Authorized OfficialMichael W SlackCoo · (610) 799-8405

Enumeration DateFebruary 21, 2007

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1912042300 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

License✔ Licensed in PA · 222190

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 ListedFoster Care AgencyTaxonomy 253J00000X · License 222190 (PA), 206200 (PA), 206180 (PA), 206210 (PA)

500 N CENTRE STREET SUITE 104, Pottsville, PA 17901

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Other Identifiers 2

Medicaid100763290-0105PA

Medicaid100763290-0096PA

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 National Center, Inc's NPI number?

The NPI number for Kidspeace National Center, Inc is 1912042300. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Kidspeace National Center, Inc located?

Kidspeace National Center, Inc is located at 500 N Centre Street Suite 104, Pottsville, PA 17901. The listed phone number is (570) 516-9987.

What is Kidspeace National Center, 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 National Center, Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.