SECOND HAVEN SERVICES FOR YOUTH INC.
SECOND HAVEN SERVICES FOR YOUTH INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053649178, based in Tobyhanna, PA. The organization lists 3 taxonomy classifications, with Emotionally Disturbed Childrens' Residential Treatment Facility recorded as primary.
Getting there
The practice address on file is 633 LAKESIDE DR, Tobyhanna, PA 18466. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 221370 | PA | Emotionally Disturbed Childrens'… primary |
| 223180 | PA | Intellectual and/or Developmental… |
| MD037460L | PA | Prescribing (Medical) Psychologist |
This provider holds licence 221370 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Residential Treatment Facility, Emotionally Disturbed Children covers
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. NUCC Health Care Provider Taxonomy, code 322D00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 221370 | PA | primary |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 223180 | PA | |
| 103TP0016X | Prescribing (Medical) Psychologist Prescribing (Medical) | MD037460L | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1053649178 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 1, 2009 |
| Last updated | Feb 9, 2015 |
| Status | Active |
| Practice address |
633 LAKESIDE DR Tobyhanna, PA 18466 (866) 343-5509 Fax (866) 343-5509 |
| Mailing address |
PO BOX 329 Mount Pocono, PA 18344 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 5 | 3 | 6 | 4 | 9 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 3 | 4 | 9 | 1 | 5 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.