Organization Active NPI

Mental Health Associates, Inc.

  • Clinical Psychologist
  • Huntingdon Valley, PA
National Provider Identifier
1366530305
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005817L Issued in PA
Legal business name
MENTAL HEALTH ASSOCIATES, INC.
Practice address
1880 August Dr
Huntingdon Valley, PA 19006-1511
Phone
(215) 396-2720
Fax
(215) 396-8822
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nelson A. Kell, M.EDNPI 1174624696
Title
Licensed Psychologist
Phone
(215) 396-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS005817L PA Primary

Addresses

Primary practice location

1880 August Dr
Huntingdon Valley, PA 19006-1511

Mailing address

1880 August Dr
Huntingdon Valley, PA 19006-1511
Phone (215) 396-2720

Other identifiers 1

IdentifierTypeStateIssuer
ME693170OtherPAPA BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366530305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AUGUST DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061511",
            "telephone_number": "215-396-2720",
            "fax_number": "215-396-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUGUST DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061511",
            "telephone_number": "215-396-2720",
            "fax_number": "215-396-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELL",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-396-2720",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005817L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "ME693170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.