Collegium Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

COLLEGIUM CHARTER SCHOOL

Practice address

535 James Hance CT
Exton, PA 19341-2560

Phone

(610) 903-1300

Fax

(610) 903-1315

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Pam Wight-Mahoney

Title

Director of Student Services

Phone

(610) 903-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174572093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 JAMES HANCE CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412560",
            "telephone_number": "610-903-1300",
            "fax_number": "610-903-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JAMES HANCE CT",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412560",
            "telephone_number": "610-903-1300",
            "fax_number": "610-903-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGIUM CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIGHT-MAHONEY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "610-903-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009670750001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Coffey, CRNP
• Alan M Cohen, OD
• Taneestar Cohen, NP, PMHNP-BC
• Michelle Renee Colaizzo
• Carol L Coldren, MD
• Cindy Collins
• Commonwealth Clinical Group, Inc.
• Commonwealth Clinical Group, Inc.
• Stephen Compos III
• Concoct Home Services LLC

• Local Education Agency (LEA) in Exton, PA
• Providers in Exton, PA by specialty
• Local Education Agency (LEA) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.