Organization Active NPI

Bryn Mawr Behavioral Solutions,PC

  • Prescribing (Medical) Psychologist
  • Ardmore, PA
National Provider Identifier
1487308169
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
BRYN MAWR BEHAVIORAL SOLUTIONS,PC
Practice address
120 Sibley Ave Apt 103
Ardmore, PA 19003-2331
Phone
(610) 389-4545
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Dr. Jeffrey Barry Bronstein, MDNPI 1528094463
Title
President
Phone
(610) 389-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X NU Primary

Addresses

Primary practice location

120 Sibley Ave Apt 103
Ardmore, PA 19003-2331

Mailing address

120 Sibley Ave Apt 103
Ardmore, PA 19003-2331
Phone (610) 389-4545

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, 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": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1487308169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SIBLEY AVE APT 103",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032331",
            "telephone_number": "610-389-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SIBLEY AVE APT 103",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032331",
            "telephone_number": "610-389-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN MAWR BEHAVIORAL SOLUTIONS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "BRONSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-389-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.