Organization
BERKS BEHAVIORAL HEALTH, LLC
Active
Other names
The Berkshire Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRY W HOYES (CEO/PRESIDENT)
(202) 955-3990
Entity
Organization
Contact information
Practice address
145 N 6TH ST, READING, PA 19601-3096
(610) 378-2365
Mailing address
3215 CATHEDRAL AVE NW, WASHINGTON, DC 20008-3410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
220580
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
220610
PA
283Q00000X
Psychiatric Hospital
Primary
220620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102249372-0001
MEDICAID PARTIAL PSYCHIATRIC HOSPITAL
PA
01
—
102249372-0002
MEDICAID OUTPATIENT PSYCHIATRIC CLINIC
PA
01
—
102249372-0003
MEDICAID PHYSICIAN GROUP
PA
01
—
102249372-0004
MEDICAID INPATIENT PSYCHIATRIC HOSPITAL
PA
01
—
131695
MEDICARE PART B PTAN
—
01
—
394052
MEDICARE PART A PTAN
—
Enumeration date
05/20/2008
Last updated
07/23/2009
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