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

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: July 26, 2026.

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

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 with the weekly NPPES data releases published by CMS.