Organization Active NPI

Monte Nido Pennsylvania, LLC

Doing business as Eating Disorder Center of Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Villanova, PA
National Provider Identifier
1467806539
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MONTE NIDO PENNSYLVANIA, LLC
Doing business as
Eating Disorder Center of Pennsylvania
Practice address
789 E Lancaster Ave Ste 130
Villanova, PA 19085-1521
Phone
(610) 581-8820
Fax
(610) 581-8840
NPI assigned
Apr 14, 2016
Organization subpart
Yes
Parent organization
MONTE NIDO HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Jason Schulz
Title
Chief Financial Officer
Phone
(305) 663-1876

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

789 E Lancaster Ave Ste 130
Villanova, PA 19085-1521

Mailing address

6100 SW 76TH St
South Miami, FL 33143-5002
Phone (305) 663-1876

Other names 1

  • Eating Disorder Center of Pennsylvania Doing business as

National Provider Directory

National Provider Directory

Locations

789 E Lancaster Ave
Ste 130
Villanova, PA 19085
Phone (610) 581-8820

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1467806539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 76TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435002",
            "telephone_number": "305-663-1876",
            "fax_number": "786-359-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 E LANCASTER AVE STE 130",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851521",
            "telephone_number": "610-581-8820",
            "fax_number": "610-581-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE NIDO PENNSYLVANIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTE NIDO HOLDINGS, LLC",
        "enumeration_date": "2016-04-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-663-1876"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eating Disorder Center of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eating Disorder Center of Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.