Bancroft Neurohealth

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

135180 Issued in PA

Legal business name

BANCROFT NEUROHEALTH

Practice address

225 Callanan Ave
Bryn Mawr, PA 19010-1329

Phone

(610) 526-9146

Fax

(610) 747-0294

NPI assigned

Mar 23, 2007

Organization subpart

No

Name

Sharon E Williams-Taylor, M.S. STLDR

Title

Senior Director

Phone

(610) 747-0290

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

• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1114044112
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1245357094
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bala Cynwyd, PA
  • NPI 1578680591
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wynnewood, PA
  • NPI 1699892968
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1730206749
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1780701789
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1790802544
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1801919915
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Merion Station, PA
  • NPI 1972620722
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1982721734
  NPD tax ID

Tax ID family

Bancroft Neurohealth (249 organizations share this tax ID)

• The Walker Memorial Training Center Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2012.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1497872410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 OLD LANCASTER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661526",
            "telephone_number": "610-747-0290",
            "fax_number": "610-747-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CALLANAN AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101329",
            "telephone_number": "610-526-9146",
            "fax_number": "610-747-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "610-747-0290",
        "authorized_official_credential": "M.S.  STLDR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "135180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101112176-0016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Walker Memorial Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jane Back, LMCSW
• Peter C Badgio, PH.D.
• Marc D Baer, DPM
• Stephen K Baker, MD
• Michael Baloga, DPM
• Bancroft Neurohealth
• Bancroft Neurohealth
• Colleen Baratka, MA
• Brian Douglas Barber, PSYD
• Sara Barber, LCSW

• All providers in Bryn Mawr, PA
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.