NPIMap

Organization Active NPI

The Growth and Recovery Center Inc.

  • Community/Behavioral Health Agency
  • Lafayette Hill, PA
National Provider Identifier
1275764524
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PS-003909-L Issued in PA
Legal business name
THE GROWTH AND RECOVERY CENTER INC.
Practice address
452 Germantown Pike
Lafayette Hill, PA 19444-1805
Phone
(610) 828-4298
Fax
(610) 943-2322
NPI assigned
Aug 4, 2009
Last updated
Aug 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Eric Eugene Griffin-Shelley Sr., PH.D.NPI 1427048362
Title
President
Phone
(610) 828-4298

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
Community/Behavioral Health Agency 251S00000X PS-003909-L PA Primary

Addresses

Primary practice location

452 Germantown Pike
Lafayette Hill, PA 19444-1805

Mailing address

4079 Oak LN
Lafayette Hill, PA 19444-2612
Phone (610) 828-4298

Other identifiers 1

IdentifierTypeStateIssuer
001400070MedicaidPA

Other names 1

  • Eric Griffin-Shelley, Ph.D. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091019000062 PA Part B Supplier - Clinic/Group Practice 7214074681 Receives reassigned benefits from 7 practitioners
Practice locations: Lafayette Hill, PA; Woodlyn, PA

National Provider Directory

National Provider Directory

Locations

6201 Hamilton Blvd
Ste 107
Allentown, PA 18106
Phone (610) 828-4298

452 Germantown Pike
Lafayette Hl, PA 19444
Phone (610) 828-4298

1112 Macdade Blvd
Woodlyn, PA 19094
Phone (610) 828-4298

Practitioners & affiliated clinicians

Practitioners 11

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": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1275764524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 OAK LN",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442612",
            "telephone_number": "610-828-4298",
            "fax_number": "610-943-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 GERMANTOWN PIKE",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441805",
            "telephone_number": "610-828-4298",
            "fax_number": "610-943-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWTH AND RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN-SHELLEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-828-4298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PS-003909-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001400070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Griffin-Shelley, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.