NPIMap

Organization Active NPI

Penndel Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Langhorne, PA
National Provider Identifier
1265724959
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PENNDEL MENTAL HEALTH CENTER, INC.
Practice address
2005 Cabot Blvd
Suite100
Langhorne, PA 19047-1898
Phone
(267) 587-2300
Fax
(267) 587-2368
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dave Marsden
Title
Business Analyst
Phone
(267) 587-2300

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2005 Cabot Blvd
Suite100
Langhorne, PA 19047-1898

Mailing address

2005 Cabot Blvd
Suite100
Langhorne, PA 19047-1898
Phone (267) 587-2300

Other identifiers 1

IdentifierTypeStateIssuer
100001996MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Penndel Mental Health Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

2005 Cabot Blvd W
Ste 100
Langhorne, PA 19047
Phone (267) 587-2300

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1265724959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD",
            "address_2": "SUITE100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471898",
            "telephone_number": "267-587-2300",
            "fax_number": "267-587-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CABOT BLVD",
            "address_2": "SUITE100",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471898",
            "telephone_number": "267-587-2300",
            "fax_number": "267-587-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNDEL MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "MARSDEN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "BUSINESS ANALYST",
        "authorized_official_telephone_number": "267-587-2300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001996",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.