Organization Active NPI

Psychedelic Healthcare Inc

  • Clinic/Center
  • West Lawn, PA
National Provider Identifier
1629953732
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PSYCHEDELIC HEALTHCARE INC
Practice address
2208 Quarry Dr Ste 200
West Lawn, PA 19609-1158
Phone
(610) 396-5139
Fax
(484) 509-5141
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Chad Steven Schaner, EMT-P
Title
Manager
Phone
(610) 396-5139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2208 Quarry Dr Ste 200
West Lawn, PA 19609-1158

Mailing address

2208 Quarry Dr Ste 200
West Lawn, PA 19609-1158
Phone (610) 396-5139

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1629953732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR STE 200",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-396-5139",
            "fax_number": "484-509-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 QUARRY DR STE 200",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091158",
            "telephone_number": "610-396-5139",
            "fax_number": "484-509-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHEDELIC HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "SCHANER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-396-5139",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.