Eelysium Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EELYSIUM BEHAVIORAL HEALTH

Practice address

1441 W Cayuga St
Phila, PA 19140-1934

Phone

(267) 266-2784

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Vontia Anita Jones, M.SNPI 1942610951

Title

Owner/President

Phone

(267) 266-2784

Specialties & licenses 6

Addresses

Practitioners 1

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

• Vontia Jones, PSYCHOLOGY MS

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1942610951

  Non-Emergency Medical Transport (Van)

  NPD (past) Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1346596798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W CAYUGA ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191401934",
            "telephone_number": "267-266-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W CAYUGA ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191401934",
            "telephone_number": "267-266-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EELYSIUM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VONTIA",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "267-266-2784",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dunleavy, CRNP
• Wayne Hamilton Dunn, MD
• Jacqueline Dwyer, RD, CDE
• E&M Healthcare (Castor Pediatrics)
• Eastwick Primary Care
• Phyllis L. Ehrlich
• Luyla Eid
• Einstein Community Health Associates, Inc
• Einstein Practice Plan Inc (Northern Pathology Associates)
• Einstein Practice Plan Inc

• Community/Behavioral Health Agency in Phila, PA
• Providers in Phila, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.