Organization Active NPI

Avonbrook Consulting

  • Community/Behavioral Health Agency
  • Avondale, PA
National Provider Identifier
1649608407
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-09-5902 Issued in PA
Legal business name
AVONBROOK CONSULTING
Practice address
32 Kodi Cir
Avondale, PA 19311-9307
Phone
(215) 370-1987
Fax
(484) 720-8110
NPI assigned
Oct 14, 2013
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Katrina Mellott, BCBANPI 1366705881
Title
President
Phone
(215) 370-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-09-5902 PA Primary

Addresses

Primary practice location

32 Kodi Cir
Avondale, PA 19311-9307

Mailing address

32 Kodi Cir
Avondale, PA 19311-9307
Phone (215) 370-1987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1649608407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KODI CIR",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119307",
            "telephone_number": "215-370-1987",
            "fax_number": "484-720-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 KODI CIR",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119307",
            "telephone_number": "215-370-1987",
            "fax_number": "484-720-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONBROOK CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "MELLOTT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-370-1987",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "1-09-5902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.