Organization Active NPI

Silver Springs - Martin Luther School

  • Psychiatric Residential Treatment Facility
  • Bryn Mawr, PA
National Provider Identifier
1578199659
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SILVER SPRINGS - MARTIN LUTHER SCHOOL
Practice address
452 S Roberts Rd
Bryn Mawr, PA 19010-1136
Phone
(610) 525-5400
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Jamie Fenstermaker
Title
VP of Program Integrity
Phone
(610) 525-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

452 S Roberts Rd
Bryn Mawr, PA 19010-1136

Mailing address

452 S Roberts Rd
Bryn Mawr, PA 19010-1136

Other identifiers 1

IdentifierTypeStateIssuer
1007760280030MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Gemma Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

452 S Roberts Rd
Bryn Mawr, PA 19010
Phone (610) 525-5400

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1578199659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 S ROBERTS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 S ROBERTS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101136",
            "telephone_number": "610-525-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRINGS - MARTIN LUTHER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "FENSTERMAKER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "VP OF PROGRAM INTEGRITY",
        "authorized_official_telephone_number": "610-525-5400"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007760280030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.