Organization Active NPI

Eagleville Hospital

Doing business as Eagleville Psychiatric Associates

  • Addiction Psychiatry Physician
  • Eagleville, PA
National Provider Identifier
1386875292
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
EAGLEVILLE HOSPITAL
Doing business as
Eagleville Psychiatric Associates
Practice address
100 Eagleville Rd
Eagleville, PA 19403-1829
Phone
(610) 539-6000
NPI assigned
Jul 28, 2009
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLEVILLE HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Lauren Blanchard
Title
Director Patient Accounts
Phone
(610) 539-6000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X
Psychiatry Physician 2084P0800X
Addiction Psychiatry Physician 2084P0802X Primary
Geriatric Psychiatry Physician 2084P0805X

Addresses

Primary practice location

100 Eagleville Rd
Eagleville, PA 19403-1829

Mailing address

100 Eagleville Rd
Eagleville, PA 19403-1829
Phone (610) 539-6000

Other names 1

  • Eagleville Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Eagleville Hospital

Practitioners & affiliated clinicians

Practitioners 2

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": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1386875292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLEVILLE RD",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031829",
            "telephone_number": "610-539-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEVILLE HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEVILLE HOSPITAL",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "DIRECTOR PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "610-539-6000"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagleville Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagleville Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.