Organization Active NPI

Bucks Integrative Psychiatry & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bensalem, PA
National Provider Identifier
1215893102
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BUCKS INTEGRATIVE PSYCHIATRY & WELLNESS LLC
Practice address
3573 Bristol Pike Rear 101
Bensalem, PA 19020-4666
Phone
(267) 900-8898
NPI assigned
Jan 5, 2026
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Dinumol MathewNPI 1922830397
Title
Owner
Phone
(315) 547-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3573 Bristol Pike Rear 101
Bensalem, PA 19020-4666

Mailing address

1428 Village Greene Blvd
Bensalem, PA 19020-3677
Phone (315) 547-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219000017 PA Part B Supplier - Clinic/Group Practice 9133609936 Receives reassigned benefits from 1 practitioner
Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1215893102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 VILLAGE GREENE BLVD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190203677",
            "telephone_number": "315-547-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 BRISTOL PIKE REAR 101",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190204666",
            "telephone_number": "267-900-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS INTEGRATIVE PSYCHIATRY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "DINUMOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-547-0502"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.