Crozer Keystone Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROZER KEYSTONE HEALTH CENTER

Doing business as

Crozer

Practice address

710 S Old Middletown Rd
Media, PA 19063-5024

Phone

(610) 619-9870

Fax

(610) 619-9870

NPI assigned

Feb 9, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Elizabeth McBride, M.ED

Title

MSW

Phone

(484) 343-5459

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Crozer Doing business as

Locations

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1023517646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 KENWOOD RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051327",
            "telephone_number": "484-343-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S OLD MIDDLETOWN RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635024",
            "telephone_number": "610-619-9870",
            "fax_number": "610-619-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER KEYSTONE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MSW",
        "authorized_official_telephone_number": "484-343-5459",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265529705",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crozer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Dale Crispell
• Gabrielle Cromley
• Priana Cromwell
• Joanne Crossan
• Barbara Grajcar Crowe, DC
• Crozer-Chester Medical Center
• Robert Cruz
• Andrea Csonka
• Nicholas Steven Cuff
• Samantha Leigh Culp, FNP-BC, RN

• Community/Behavioral Health Agency in Media, PA
• Providers in Media, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.