Organization Active NPI

Delco Psychiatric Associates, LLC

  • Psychiatry Physician
  • Holmes, PA
National Provider Identifier
1366613622
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DELCO PSYCHIATRIC ASSOCIATES, LLC
Practice address
2173 Macdade Blvd
Suites K & L
Holmes, PA 19043-1217
Phone
(610) 254-1552
NPI assigned
Mar 14, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Ulhas Mayekar, M.D.
Title
Owner
Phone
(610) 524-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

2173 Macdade Blvd
Suites K & L
Holmes, PA 19043-1217

Mailing address

PO Box 1750
Chadds Ford, PA 19317-0716
Phone (610) 524-1552

Other identifiers 6

IdentifierTypeStateIssuer
2022156OtherHIGHMARK BLUE SHIELD
102137231 0001MedicaidPA
9856139OtherAETNA
416989OtherMANAGED HEALTH NETWORK
600494588OtherMAGELLAN
3512831000OtherINDEPENDENCE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

2173 Macdade Blvd
Ste K
Holmes, PA 19043
Phone (610) 254-1552

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1366613622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193170716",
            "telephone_number": "610-524-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 MACDADE BLVD",
            "address_2": "SUITES K & L",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431217",
            "telephone_number": "610-254-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELCO PSYCHIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MAYEKAR",
        "authorized_official_first_name": "ULHAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-524-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2022156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102137231 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9856139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "416989",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600494588",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3512831000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmes, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.