NPIMap

Organization Active NPI

Abh Pennsylvania Childrens Services Inc

  • Psychiatric Hospital
  • Malvern, PA
National Provider Identifier
1174201842
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
ABH PENNSYLVANIA CHILDRENS SERVICES INC
Practice address
655 Sugartown Rd
Malvern, PA 19355-3303
Phone
(484) 595-6726
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Patricia Hillis-Clark
Title
Executive Director
Phone
(610) 329-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

655 Sugartown Rd
Malvern, PA 19355-3303

Mailing address

655 Sugartown Rd
Malvern, PA 19355-3303

Other identifiers 1

IdentifierTypeStateIssuer
114190MedicaidPA

Other names 1

  • The Devereux Children's Behavioral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abh Pennsylvania Childrens Services Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

655 Sugartown Rd
Malvern, PA 19355
Phone (484) 595-6729

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1174201842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SUGARTOWN RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SUGARTOWN RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553303",
            "telephone_number": "484-595-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABH PENNSYLVANIA CHILDRENS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "HILLIS-CLARK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-329-2103"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114190",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Devereux Children's Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.