Active NPI
Main Line Day, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wayne, PA
National Provider Identifier
1316494958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MAIN LINE DAY, LLC
- Practice address
- 487 Devon Park Drive
Suite 207
Wayne, PA 19087 - Phone
- (484) 584-4213
- NPI assigned
- Sep 1, 2016
- Last updated
- Feb 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonnie Silverberg
- Title
- Office Manager/Owner
- Phone
- (484) 584-4213
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary | |
| Clinical Psychologist | 103TC0700X | NU | ||
| Group Psychotherapy Psychologist | 103TP2701X | NU | ||
| Prescribing (Medical) Psychologist | 103TP0016X | NU |
Addresses
Primary practice location
487 Devon Park Drive
Suite 207
Wayne, PA 19087
Mailing address
487 Devon Park Drive
Suite 207
Wayne, PA 19087
Phone (484) 584-4213
National Provider Directory
National Provider DirectoryLocations
487 Devon Park Dr
Ste 207
Wayne, PA 19087
Phone (484) 584-4213
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Wayne, PA
- NPI 1033612114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487548800000",
"number": "1316494958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 DEVON PARK DRIVE",
"address_2": "SUITE 207",
"city": "WAYNE",
"state": "PA",
"postal_code": "19087",
"telephone_number": "484-584-4213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 DEVON PARK DRIVE",
"address_2": "SUITE 207",
"city": "WAYNE",
"state": "PA",
"postal_code": "19087",
"telephone_number": "484-584-4213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN LINE DAY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2017-02-20",
"status": "A",
"authorized_official_last_name": "SILVERBERG",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
"authorized_official_telephone_number": "484-584-4213"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.