Elwyn

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ELWYN

Practice address

1347 Hausman Rd
Children'S Icm
Allentown, PA 18104-9063

Phone

(610) 891-2000

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Reardon, MBA

Title

Cfo

Phone

(610) 891-2000

Specialties & licenses 1

Addresses

Other names 1

• Childrens's ICM Other name

Tax ID family

Elwyn Medical Services61 organizations share this tax ID, including this one

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.

• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1235335191
  NPD tax ID
• Elwyn

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1255573093
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Lehigh Valley, PA
  • NPI 1275789117
  NPD tax ID
• Elwyn

  • Intellectual Disabilities Intermediate Care Facility
  • Boothwyn, PA
  • NPI 1306979133
  NPD tax ID
• Elwyn

  • Intellectual Disabilities Intermediate Care Facility
  • Elwyn, PA
  • NPI 1316248248
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1336273523
  NPD tax ID
• Elwyn

  • Early Intervention Provider Agency
  • Philadelphia, PA
  • NPI 1396995411
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1417345455
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1457485955
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Elwyn, PA
  • NPI 1528108875
  NPD tax ID
• Elwyn

  • Local Education Agency (LEA)
  • Elwyn, PA
  • NPI 1568501799
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Elwyn, PA
  • NPI 1568502607
  NPD tax ID

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1366698201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "CHILDREN'S ICM",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 HAUSMAN RD",
            "address_2": "CHILDREN'S ICM",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049063",
            "telephone_number": "610-891-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-891-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens's ICM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeremy Michael Ellis, M.D.
• Jessica Ellis
• Lisa B Ellis, PSYD
• Khadija Elmagarmid, MD
• Sarah Elrod, DO
• Elwyn
• Elwyn
• Elwyn of Pennsylvania and Delaware
• Elyse C Lubell
• Emaus Avenue Family Practice

• All providers in Allentown, PA
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.