Medical Psychiatric Associates of Delaware Valley

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

MEDICAL PSYCHIATRIC ASSOCIATES OF DELAWARE VALLEY

Practice address

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343

Phone

(215) 831-7932

NPI assigned

Jun 26, 2006

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Gittleman

Title

Office Manager

Phone

(215) 831-7932

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

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.

• Eduard Kraychik, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1689611196
  Medicare reassignment NPD
• Mark Andrew McClurg, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1407826928
  Medicare reassignment NPD
• Timothy Craig Smith, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1508836057
  Medicare reassignment NPD

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1376570630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-831-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242343",
            "telephone_number": "215-831-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PSYCHIATRIC ASSOCIATES OF DELAWARE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "GITTLEMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-831-7932"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Discovery Systems, LLC
• Medical Esscort, Inc. (First Medical Care)
• Medical Guardian Acquisition Co LLC
• Medical Guardian, LLC
• Medical Nutrition Consulting of Media LLC
• Medical Services of Pennsylvania, PLLC
• Medical Services of Suffolk County PC
• Medically Assisted Recovery Services Inc
• Medicinal Technologies
• Monica P Medina McCurdy, PA-C

• Geriatric Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Geriatric Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.