Active NPI
Dynamic Recovery and Wellness LLC
- Mental Illness Community Based Residential Treatment Facility
- Doylestown, PA
National Provider Identifier
1417146887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 130600
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Doylestown, PA
- NPI 1417054586
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.