Arbor Grove Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ARBOR GROVE PSYCHOLOGICAL SERVICES

Practice address

118 South Bellevue Ave
Langhorne, PA 19047

Phone

(215) 947-0424

NPI assigned

Jan 8, 2016

Last updated

Jan 8, 2016By 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

Mr. Derrick Bacon, MSNPI 1083102180

Title

Therapist

Phone

(215) 300-8111

Specialties & licenses 1

Addresses

Locations

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.

• Derrick Bacon

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1083102180
  Authorized official Same address or phone

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1114383932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SOUTH BELLEVUE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-947-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SOUTH BELLEVUE AVE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-947-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR GROVE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "215-300-8111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arbor Grove Psychological Services, LLC.
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• Community/Behavioral Health Agency in Langhorne, PA
• Providers in Langhorne, 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 Jan 8, 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.