Cerevia Behavioral Health Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CEREVIA BEHAVIORAL HEALTH GROUP LLC

Practice address

29 Regency PLZ
Glen Mills, PA 19342-1001

Phone

(610) 203-4259

Fax

(610) 273-8463

NPI assigned

Dec 9, 2025

Organization subpart

No

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

Authorized official

Name

Andrea Stahl

Title

Managing Member

Phone

(610) 364-6856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trina Y Qualls-Dunaway, LCSW

  • Clinical Social Worker
  • Abington, PA
  • NPI 1942071337
  Medicare reassignment

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1154284891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421001",
            "telephone_number": "610-203-4259",
            "fax_number": "610-273-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421001",
            "telephone_number": "610-203-4259",
            "fax_number": "610-273-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREVIA BEHAVIORAL HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-364-6856"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Louise Carr, MSOT
• Lisa A Carroll, MD
• Patrick Carter, DPT
• Geraldine Celestin
• Eileen Helen Cerami, R.PH.
• Gayatri Chander
• Kenneth Chang, MD
• Kathleen A Charles, LCSW
• Michele Chen
• Francien Chenoweth, PSY.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.

Verify at the official NPI Registry.