Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Wilkes-Barre Behavioral Hospital Company LLC

Psychiatry Physician in Kingston, PA · enumerated 2009 · authorized official Jennifer Jackson, Senior Director Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427292622

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Registry record

Entity type Organization (Type 2)

Legal business name Wilkes-Barre Behavioral Hospital Company LLC

Practice address 562 Wyoming Ave, Kingston, PA, 18704

Phone (570) 552-3865

Fax (570) 552-3875

Enumeration date May 1, 2009

Last updated in NPPES Jan 25, 2022

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson

Title Senior Director Provider Enrollment

Phone (877) 892-9815

Other identifiers

Identifier	Type	State	Issuer
102288577-0005	Medicaid	PA	-

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Wilkes-Barre Behavioral Hospital Company LLC?

Wilkes-Barre Behavioral Hospital Company LLC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-25.