NPIMap

Organization Active NPI

Penndel Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Penndel, PA
National Provider Identifier
1649440413
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PENNDEL MENTAL HEALTH CENTER
Practice address
1517 Durham Rd
Penndel, PA 19047-5707
Phone
(215) 757-8611
Fax
(215) 757-8699
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Ms. Karen M Graff, M.ED.
Title
Executive Director
Phone
(267) 587-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1517 Durham Rd
Penndel, PA 19047-5707

Mailing address

1723 Woodbourne Rd
Suite a-110
Levittown, PA 19057-1510
Phone (267) 587-2300

Other identifiers 1

IdentifierTypeStateIssuer
1000019960014OtherPAPROMISE ID

National Provider Directory

National Provider Directory
Tax ID family
Penndel Mental Health Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1649440413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 WOODBOURNE RD",
            "address_2": "SUITE A-110",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571510",
            "telephone_number": "267-587-2300",
            "fax_number": "267-587-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 DURHAM RD",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190475707",
            "telephone_number": "215-757-8611",
            "fax_number": "215-757-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNDEL MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "267-587-2300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE ID",
            "identifier": "1000019960014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penndel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.