Queen'S Village Integrative Mental Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

QUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC

Practice address

510 Darby Rd Ste 3C
Havertown, PA 19083-4630

Phone

(267) 977-5249

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Candace PerryNPI 1629523949

Title

Aprn

Phone

(267) 977-5249

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Candace Perry, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1629523949
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1366371981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 3C",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DARBY RD STE 3C",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834630",
            "telephone_number": "267-977-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S VILLAGE INTEGRATIVE MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "267-977-5249"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Matthew Pugliese, CRNA
• Pulmonary Care Inc
• Miteswar Purewal, MD
• Artem Pyatanov, PT, DPT
• Lin Qiu, DMD
• Alexander Tyler Quigley
• Kristen Ann Quindlen, PT, DPT
• Diane H Quinn, PTA
• R & G Physical Therapy
• Rachel E Walsh DMD PC

• Psychiatric/Mental Health Nurse Practitioner in Havertown, PA
• Providers in Havertown, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.