Organization Active NPI

Ganim Psychology and Behavioral Health, PLLC

  • Clinical Child & Adolescent Psychologist
  • Exton, PA
National Provider Identifier
1629615810
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Legal business name
GANIM PSYCHOLOGY AND BEHAVIORAL HEALTH, PLLC
Practice address
80 West Welsh Pool Road, Suite 204 South
Exton, PA 19341-1233
Phone
(610) 350-6092
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mendy Lynn Viel Ganim, PSYD
Title
Psychologist
Phone
(610) 350-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X Primary

Addresses

Primary practice location

80 West Welsh Pool Road, Suite 204 South
Exton, PA 19341-1233

Mailing address

30 S Valley Rd Ste 123B
Paoli, PA 19301-1469

National Provider Directory

National Provider Directory

Locations

80 W Welsh Pool Rd
Ste 204
Exton, PA 19341
Phone (610) 350-6092

30 S Valley Rd
Ste 123B
Paoli, PA 19301
Phone (484) 925-0528

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1629615810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD STE 123B",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WEST WELSH POOL ROAD, SUITE 204 SOUTH",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233",
            "telephone_number": "610-350-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANIM PSYCHOLOGY AND BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "GANIM",
        "authorized_official_first_name": "MENDY",
        "authorized_official_middle_name": "LYNN VIEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "610-350-6092",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.