Active NPI
Fountain Health Inc.
- Psychiatry Physician
- Bensalem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- FOUNTAIN HEALTH INC.
- Practice address
- 3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366 - Phone
- (215) 639-3185
- Fax
- (215) 639-3184
- NPI assigned
- Jun 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emmanuel Ugwuoke, M.D
- Title
- President
- Phone
- (267) 266-6820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366
Mailing address
3554 Hulmeville Rd Ste 106
Bensalem, PA 19020-4366
Phone (215) 639-3185
Other practice location 1
2341 MacDade Blvd
Holmes, PA 19043-1301
Phone (215) 639-3185
Other practice location 2
17 Regency Plz
Glen Mills, PA 19342-1000
Phone (215) 639-3185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024539660001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3554 Hulmeville Rd
Ste 106
Bensalem, PA 19020
Phone (215) 639-3185
2341 Macdade Blvd
Holmes, PA 19043
Phone (215) 639-3185
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Bensalem, PA
- NPI 1124204581
-
- Psychiatric/Mental Health Nurse Practitioner
- Furlong, PA
- NPI 1073143814
-
- Psychiatric/Mental Health Nurse Practitioner
- Bensalem, PA
- NPI 1568659753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1053631689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 HULMEVILLE RD STE 106",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190204366",
"telephone_number": "215-639-3185",
"fax_number": "215-639-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3554 HULMEVILLE RD STE 106",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190204366",
"telephone_number": "215-639-3185",
"fax_number": "215-639-3184"
}
],
"practiceLocations": [
{
"address_1": "2341 MacDade Blvd",
"address_purpose": "LOCATION",
"city": "Holmes",
"state": "PA",
"postal_code": "190431301",
"country_code": "US",
"telephone_number": "215-639-3185",
"fax_number": "215-639-3184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Regency Plz",
"address_purpose": "LOCATION",
"city": "Glen Mills",
"state": "PA",
"postal_code": "193421000",
"country_code": "US",
"telephone_number": "215-639-3185",
"fax_number": "215-639-3184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FOUNTAIN HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-05",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "UGWUOKE",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "267-266-6820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024539660001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.