Organization Active NPI

Amavi Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yardley, PA
National Provider Identifier
1104421312
Registry record updated Dec 3, 2020
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
AMAVI THERAPY CENTER
Practice address
19 S Main St Ste B2
Yardley, PA 19067-1526
Phone
(267) 726-4831
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Janika Veasley, LMFTNPI 1831562453
Title
Owner
Phone
(267) 726-4831

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 1

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

Addresses

Primary practice location

19 S Main St Ste B2
Yardley, PA 19067-1526

Mailing address

19 S Main St Ste B2
Yardley, PA 19067-1526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janika@amavitherapy.com Direct

National Provider Directory

National Provider Directory

Locations

19 S Main St
Ste B2
Yardley, PA 19067
Phone (267) 726-4831

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1104421312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S MAIN ST STE B2",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S MAIN ST STE B2",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671526",
            "telephone_number": "267-726-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAVI THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "VEASLEY",
        "authorized_official_first_name": "JANIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-726-4831",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janika@amavitherapy.com",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "19 S Main St Ste B2",
            "city": "Yardley",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190671526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.