NPIMap

Organization Active NPI

Prospect DCMH, LLC

  • Community/Behavioral Health Agency
  • Drexel Hill, PA
National Provider Identifier
1437708179
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROSPECT DCMH, LLC
Practice address
501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone
(610) 284-8100
NPI assigned
Sep 5, 2019
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Mailing address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114
Phone (610) 284-8100

Other names 1

  • D&A Outpatient and Intensive OP Supplemental Other name

National Provider Directory

National Provider Directory
Tax ID family
Delaware County Memorial Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1437708179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT DCMH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&A Outpatient and Intensive OP Supplemental",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "D&A Outpatient and Intensive OP Supplemental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

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