Active NPI
Christoph V. Von Andreae, M.D.
- Child & Adolescent Psychiatry Physician
- Fort Washington, PA
National Provider Identifier
1235391350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD446295
- Practice address
- 455 Pennsylvania Ave Ste 250
Fort Washington, PA 19034-3400 - Phone
- (484) 450-6537
- Fax
- (888) 959-5640
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD446295 | PA | Primary |
| Psychiatry Physician | 2084P0800X | MD446295 | PA |
Addresses
Primary practice location
455 Pennsylvania Ave Ste 250
Fort Washington, PA 19034-3400
Mailing address
PO Box 1256
444 E Township Line Rd
Havertown, PA 19083
Phone (484) 450-6537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 30, 2015 through Jul 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Philadelphia Community MH Consortium Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba The Consortium Inc.
- Adolescent and Children Mental Health Clinic/Center
- Philadelphia, PA
- NPI 1053438390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1235391350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1256",
"address_2": "444 E TOWNSHIP LINE RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "19083",
"telephone_number": "484-450-6537",
"fax_number": "888-959-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 PENNSYLVANIA AVE STE 250",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190343400",
"telephone_number": "484-450-6537",
"fax_number": "888-959-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON ANDREAE",
"first_name": "CHRISTOPH",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD446295",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD446295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.