NPIMap

Organization Active NPI

Penndel Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Langhorne, PA
National Provider Identifier
1104096973
Registry record updated Feb 10, 2016
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
PENNDEL MENTAL HEALTH CENTER
Practice address
2005 Cabot Blvd W
Langhorne, PA 19047-1885
Phone
(267) 587-2300
Fax
(267) 587-2368
NPI assigned
Mar 7, 2008
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Ms. Karen M Graff, M.ED.
Title
Executive Director
Phone
(267) 587-2300

Specialties & licenses 1

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

Addresses

Primary practice location

2005 Cabot Blvd W
Langhorne, PA 19047-1885

Mailing address

2005 Cabot Blvd W
Suite 100
Langhorne, PA 19047-1885
Phone (267) 587-2300

Other identifiers 1

IdentifierTypeStateIssuer
1000019960006OtherPAPROMISE ID

National Provider Directory

National Provider Directory
Tax ID family
Penndel Mental Health Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2005 Cabot Blvd W
Langhorne, PA 19047
Phone (267) 587-2300

Practitioners & affiliated clinicians

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1104096973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD W",
            "address_2": "SUITE 100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471885",
            "telephone_number": "267-587-2300",
            "fax_number": "267-587-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD W",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471885",
            "telephone_number": "267-587-2300",
            "fax_number": "267-587-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNDEL MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-587-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "1000019960006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.