Organization Active NPI

Dynamic Recovery and Wellness LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Doylestown, PA
National Provider Identifier
1417146887
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
130600 Issued in PA
Legal business name
DYNAMIC RECOVERY AND WELLNESS LLC
Practice address
18 W State St
Suite 225
Doylestown, PA 18901-4240
Phone
(215) 862-7317
Fax
(215) 862-0473
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mr. Russell Michael Senyk
Title
President / Executive Director
Phone
(215) 862-7317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 130600 PA Primary

Addresses

Primary practice location

18 W State St
Suite 225
Doylestown, PA 18901-4240

Mailing address

PO Box 360
New Hope, PA 18938-0360
Phone (215) 862-7317

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1417146887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189380360",
            "telephone_number": "215-862-7317",
            "fax_number": "215-862-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W STATE ST",
            "address_2": "SUITE 225",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014240",
            "telephone_number": "215-862-7317",
            "fax_number": "215-862-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "SENYK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-862-7317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "130600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.