CLARVIDA – NPI #1316922362
Clinic/Center
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.
CLARVIDA is an AHC clinic located in POTTSVILLE, PA. NPPES has assigned the NPI number 1316922362 to CLARVIDA on December 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLARVIDA” is a dba name, the actual legal business name for this organization is THE REDCO GROUP, LLC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0855X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adolescent and Children Mental Health
The NPI profile was last updated on Oct 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARVIDA below.
NPI Profile for
THE REDCO GROUP, LLC.
(more than 20 years ago)
SUITE 28
POTTSVILLE, PA 17901 Phone: (570) 622-6417 Fax:
POTTSVILLE, PA 17901-3501 Phone: (570) 622-6417 Fax: (570) 622-3230
COO
Phone: (570) 628-5215
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for CLARVIDA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | PA | 1000017170169 | |
| medicaid | PA | 1000017170571 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0855X - Clinic/Center / Adolescent and Children Mental Health (Primary) |
PA | 203110 |
| 251S00000X - Community/Behavioral Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.