PWS Wayne LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PWS WAYNE LLC

Practice address

489 Devon Park Dr Ste 306
Wayne, PA 19087-1809

Phone

(610) 947-0800

Fax

(610) 756-2050

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Mayer Weber, MR.

Title

Partner

Phone

(347) 374-1767

Specialties & licenses 3

Addresses

Other names 2

• Amwell Recovery of Wayne Doing business as
• Provive Wellness of Wayne Doing business as

Locations

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1508549155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PERLMAN DR STE 120",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 DEVON PARK DR STE 306",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871809",
            "telephone_number": "610-947-0800",
            "fax_number": "610-756-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWS WAYNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "347-374-1767",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amwell Recovery of Wayne",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Provive Wellness of Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.