Active NPI
Elwyn of Pennsylvania and Delaware
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1366091340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ELWYN OF PENNSYLVANIA AND DELAWARE
- Practice address
- 4040 Market St
Philadelphia, PA 19104-3003 - Phone
- (215) 895-5588
- NPI assigned
- Sep 11, 2019
- 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
- Donna K Busch
- Title
- Payer Contract Specialist
- Phone
- (445) 206-3028
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
4040 Market St
Philadelphia, PA 19104-3003
Mailing address
111 Elwyn Road
Attn: Partners in Recovery
Media, PA 19063-4622
Phone (215) 895-5588
Other names 1
- Partners In Recovery
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn Medical Services
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.
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1235335191
-
- Clinic/Center
- Philadelphia, PA
- NPI 1255573093
-
- Community/Behavioral Health Agency
- Lehigh Valley, PA
- NPI 1275789117
-
- Intellectual Disabilities Intermediate Care Facility
- Boothwyn, PA
- NPI 1306979133
-
- Intellectual Disabilities Intermediate Care Facility
- Elwyn, PA
- NPI 1316248248
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1336273523
-
- Case Management Agency
- Allentown, PA
- NPI 1366698201
-
- Early Intervention Provider Agency
- Philadelphia, PA
- NPI 1396995411
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1417345455
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1457485955
-
- Case Management Agency
- Elwyn, PA
- NPI 1528108875
-
- Local Education Agency (LEA)
- Elwyn, PA
- NPI 1568501799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644969600000",
"number": "1366091340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN ROAD",
"address_2": "ATTN: PARTNERS IN RECOVERY",
"city": "MEDIA",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "215-895-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MARKET ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043003",
"telephone_number": "215-895-5588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-11",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"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": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Partners In Recovery",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Partners In Recovery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.