Green Oak Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GREEN OAK WELLNESS

Practice address

19 N Bacton Hill Rd
Malvern, PA 19355-1005

Phone

(585) 704-6258

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haley McCarthyNPI 1003319708

Title

Owner/LPC

Phone

(585) 704-6258

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haley McCarthy

  • Mental Health Counselor
  • Malvern, PA
  • NPI 1003319708
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1619556420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 MARSH CREEK DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351896",
            "telephone_number": "585-704-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 N BACTON HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551005",
            "telephone_number": "585-704-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "585-704-6258"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke M. Graff, DDS
• Marissa Nicole Gray, B.A., RBT
• Great Valley Orthodontics LLC
• Great Valley School District
• James Greco, PHARMD, R.PH.
• Lauren Elizabeth Greenhalgh, OTR/L
• Dana Greenlee, MS, LPC
• Jaclyn Grenier, DPT
• Charles N Griffen Jr., OD
• Kraig Randolph Gualtieri, PT,MSPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Malvern, PA
• Providers in Malvern, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.