Organization Active NPI

Main Line Day, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wayne, PA
National Provider Identifier
1316494958
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.