Provider Demographics
NPI:1629384292
Name:HAVEN BEHAVIORAL SERVICES OF READING, LLC
Entity Type:Organization
Organization Name:HAVEN BEHAVIORAL SERVICES OF READING, LLC
Other - Org Name:HAVEN BEHAVIORAL HOSPITAL OF EASTERN PENNSYLVANIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, COMPTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-393-8809
Mailing Address - Street 1:3102 W END AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1324
Mailing Address - Country:US
Mailing Address - Phone:615-393-8800
Mailing Address - Fax:615-982-8123
Practice Address - Street 1:145 N 6TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3096
Practice Address - Country:US
Practice Address - Phone:610-406-4340
Practice Address - Fax:610-898-7887
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAVEN BEHAVIORAL HEALTHCARE, INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-20
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA222150283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025111570001Medicaid
PA1025111570003OtherMEDICAID - PARTIAL HOSPITALIZATION
PA1629384292OtherHIGHMARK BCBS
PA1025111570002OtherMEDICAID - OP
PA1025111570003OtherMEDICAID - PARTIAL HOSPITALIZATION
PA394052Medicare Oscar/Certification