NPIMap

Organization Active NPI

Central Montgomery Mental Health Mental Retardation Center

  • Case Management Agency
  • Willow Grove, PA
National Provider Identifier
1225252067
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CENTRAL MONTGOMERY MENTAL HEALTH MENTAL RETARDATION CENTER
Practice address
2500 Maryland Rd
Willow Grove, PA 19090-1216
Phone
(215) 830-8966
Fax
(215) 830-8971
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mr. Robert Love
Title
Chief Financial Officer
Phone
(610) 277-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2500 Maryland Rd
Willow Grove, PA 19090-1216

Mailing address

1100 Powell St
Norristown, PA 19401-3820
Phone (610) 277-4600

Other identifiers 1

IdentifierTypeStateIssuer
1007279900057MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Central Behavioral Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1225252067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POWELL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013820",
            "telephone_number": "610-277-4600",
            "fax_number": "610-275-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901216",
            "telephone_number": "215-830-8966",
            "fax_number": "215-830-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTGOMERY MENTAL HEALTH MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-277-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007279900057",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.