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Organization

DEERFIELD BEHAVIORAL HEALTH OF WARREN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN JOHN MD (MEDICAL DIRECTOR)
(814) 723-5545
Entity
Organization

Contact information

Practice address
1885 MARKET ST, WARREN, PA 16365-1277
(814) 723-5545
(814) 723-6355
Mailing address
1885 MARKET ST, WARREN, PA 16365-1277
(814) 723-5545
(814) 723-6355

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC001117
PA
101YP2500X
Professional Counselor
PC004260
PA
103TC0700X
Clinical Psychologist
PS006787L
PA
104100000X
Social Worker
SW123097
PA
1041C0700X
Clinical Social Worker
CW013526
PA
2084P0800X
Psychiatry Physician
MD016835E
PA
2084P0800X
Psychiatry Physician
MD042901L
PA
2084P0800X
Psychiatry Physician
Primary
MD050021L
PA
2084P0800X
Psychiatry Physician
MD051025L
PA
2084P0800X
Psychiatry Physician
MD055978L
PA
2084P0800X
Psychiatry Physician
MD061131L
PA
2084P0802X
Addiction Psychiatry Physician
MD055978L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD425828
PA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
627023
PA
363L00000X
Nurse Practitioner
UP006505B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015930840007
PA
05
0015930840009
PA
05
0015930840010
PA
05
0015930840011
PA
05
0015930840012
PA
01
0050598001
UNIVERA HEALTH CARE
PA
01
0828
HIGHMARK FACILITY
PA
01
1436176
HIGHMARK BLUE SHIELD
PA
01
1436227
KEYSTONE HIGHMARK
PA
01
330194
VALUE OPTIONS
01
CD5207
RAILROAD MEDICARE
PA
Enumeration date
07/01/2006
Last updated
03/06/2026
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