NPIMap

Organization Active NPI

Exton Behavioral Health & Rehabilitation, LLC

  • Clinical Psychologist
  • Exton, PA
National Provider Identifier
1184031684
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015595 Issued in PA
Legal business name
EXTON BEHAVIORAL HEALTH & REHABILITATION, LLC
Practice address
766 W Lincoln Hwy
Exton, PA 19341-2547
Phone
(610) 873-2233
NPI assigned
Jul 16, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Lori Sawicki
Title
Director of Contracts
Phone
(610) 873-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS015595 PA Primary

Addresses

Primary practice location

766 W Lincoln Hwy
Exton, PA 19341-2547

Mailing address

766 W Lincoln Hwy
Exton, PA 19341-2547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1184031684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412547",
            "telephone_number": "610-873-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON BEHAVIORAL HEALTH & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SAWICKI",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTS",
        "authorized_official_telephone_number": "610-873-2233"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.