Fajr Khalifah Elhadi, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BB000688 Issued in PA

Practice address

651 Parkview Blvd
Yeadon, PA 19050-3433

Phone

(215) 900-6370

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania Autism Service

  • Adolescent and Children Mental Health Clinic/Center
  • Yeadon, PA
  • NPI 1881154482
  NPD Authorized official
• Pennsylvania Autism Services

  • Adolescent and Children Mental Health Clinic/Center
  • Radnor, PA
  • NPI 1902366404
  NPD Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1538539713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 PARKVIEW BLVD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503433",
            "telephone_number": "215-900-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 PARKVIEW BLVD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503433",
            "telephone_number": "215-900-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHADI",
        "first_name": "FAJR",
        "middle_name": "KHALIFAH",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BB000688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Providence Village
• Phillip Divon
• Donna L. Elcock, O.D.
• Wade Duncan, RN
• Donna Leonne Elcock, O.D.
• Leeanne Elhadi, LBS
• Empower Healthcare
• Yolanda Erwin
• Extracare Homecare Services
• Extracare Pharmacy, Inc.

• All providers in Yeadon, PA
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.