NPIMap

Organization Active NPI

Elwyn of Pennsylvania and Delaware

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Media, PA
National Provider Identifier
1013422526
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELWYN OF PENNSYLVANIA AND DELAWARE
Practice address
111 Elwyn Rd
Media, PA 19063-4622
Phone
(610) 891-7317
NPI assigned
Dec 6, 2017
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke McLaughlin
Title
Contracts & Credentialing Coord.
Phone
(919) 896-3581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

111 Elwyn Rd
Media, PA 19063-4622

Mailing address

111 Elwyn Rd
Elwyn, PA 19063-4622
Phone (610) 891-7079

Other identifiers 1

IdentifierTypeStateIssuer
1000021240728MedicaidPA

Other names 1

  • Elwyn Young Adult Residential Treatment Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn Aston61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1001 Sterigere St
Bldg 9AF
Norristown, PA 19401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1013422526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-7079",
            "fax_number": "610-891-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "CONTRACTS & CREDENTIALING COORD.",
        "authorized_official_telephone_number": "919-896-3581"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021240728",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elwyn Young Adult Residential Treatment Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.