Amirah Macon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH007060 Issued in PA

Practice address

154 Bickley Rd FL 3
Glenside, PA 19038-4537

Phone

(215) 206-3358

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1538914080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BICKLEY RD FL 3",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384537",
            "telephone_number": "215-206-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BICKLEY RD FL 3",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384537",
            "telephone_number": "215-206-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "AMIRAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "BH007060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Long, CRNP
• Emily J Lorimer, RDN, LDN
• Julie E Lowe
• Michael Lyons, MD
• Zachary Lyons, M.D.
• Brianna Madden
• Caitlin Mailey
• Harry S. Marcy, DMD
• Janine Mariscotti, MSW, LCSW
• Mark J Mele DMD

• Community/Behavioral Health Agency in Glenside, PA
• Providers in Glenside, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.