Elwyn

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ELWYN

Practice address

111 Elwyn Rd
Wechsler
Elwyn, PA 19063-4622

Phone

(610) 891-2000

Fax

(610) 891-2106

NPI assigned

Nov 9, 2010

Organization subpart

No

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

Authorized official

Name

Donna K Busch

Title

Payer Contract Specialist

Phone

(445) 206-3028

Specialties & licenses 1

Addresses

Other names 1

• Wechsler Other name

Tax ID family

Elwyn Medical Services61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1134325095
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1235335191
  NPD tax ID
• Elwyn

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1255573093
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Lehigh Valley, PA
  • NPI 1275789117
  NPD tax ID
• Elwyn

  • Intellectual Disabilities Intermediate Care Facility
  • Boothwyn, PA
  • NPI 1306979133
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1336273523
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Allentown, PA
  • NPI 1366698201
  NPD tax ID
• Elwyn

  • Early Intervention Provider Agency
  • Philadelphia, PA
  • NPI 1396995411
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1417345455
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1457485955
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Elwyn, PA
  • NPI 1528108875
  NPD tax ID
• Elwyn

  • Local Education Agency (LEA)
  • Elwyn, PA
  • NPI 1568501799
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Delea, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Elwyn, PA
  • NPI 1467431635
  NPD (past)
• Michele Soraya Shrikanthan, MD

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1063476661
  NPD (past)

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1316248248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2000",
            "fax_number": "610-891-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "WECHSLER",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2000",
            "fax_number": "610-891-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PAYER CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "445-206-3028"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wechsler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wechsler",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Candice Denise Coston
• Ellen Delea, MD
• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn
• Elwyn

• All providers in Elwyn, PA
• Intellectual Disabilities Intermediate Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.