Philhaven
Philhaven is a healthcare organization registered as Clinic/Center in Lebanon, PA, holding Type 2 (organization) NPI 1174629463 since 2006. The authorized official on file is Mantha Kotsalos, Vp & President Philhaven.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174629463 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Philhaven |
| Other name | <Unavail> |
| Practice address | 283 S BUTLER RD, Lebanon, PA, 17042 |
| Phone | 7172702405 |
| Enumeration date | 2006-09-15 |
| Last updated in NPPES | 2024-06-05 |
Authorized official
| Name | Mantha Kotsalos |
|---|---|
| Title | Vp & President Philhaven |
| Phone | 7172702423 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare Agency | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 261Q00000X | Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007720000054 | Medicaid | PA | — |
| 1007720000145 | Medicaid | PA | — |
| 1007720000115 | Medicaid | PA | — |
| 1007720000037 | Medicaid | PA | — |
Copy-ready billing details
Provider: Philhaven NPI: 1174629463 Taxonomy: 261Q00000X (Clinic/Center) Address: 283 S BUTLER RD, Lebanon, PA, 17042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972598076 | Philhaven | Organization | Psychiatric Hospital | Lebanon, PA |
| 1265494934 | Michelle Gitke | Individual | Medical Physician Assistant | Lebanon, PA |
| 1295762003 | Karen Kennedy | Individual | Child & Adolescent Psychiatry Physician | Lebanon, PA |
| 1164453627 | Thomas Fenstermacher | Individual | Psychiatry Physician | Lebanon, PA |
| 1316966955 | Margaret Cunha | Individual | Clinical Social Worker | Lebanon, PA |
| 1487762571 | David Renfrow | Individual | Psychiatry Physician | Lebanon, PA |
| 1043316441 | Philhaven | Organization | Psychiatry Physician | Lebanon, PA |
| 1053491407 | Melanie Baer | Individual | Psychologist | Lebanon, PA |
Verify this record
Cross-check NPI 1174629463 against the authoritative CMS record: view Philhaven on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Philhaven?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-06-05.