NPIMap

Organization Active NPI

Central Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willow Grove, PA
National Provider Identifier
1679958854
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
142240 Issued in PA
Legal business name
CENTRAL BEHAVIORAL HEALTH
Practice address
2500 Maryland Rd Ste 130
Willow Grove, PA 19090-1223
Phone
(267) 818-2220
Fax
(267) 818-2216
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Robert Love Jr., CPA
Title
Chief Financial Officer
Phone
(484) 806-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 142240 PA Primary

Addresses

Primary practice location

2500 Maryland Rd Ste 130
Willow Grove, PA 19090-1223

Mailing address

1100 Powell St
Norristown, PA 19401-3820
Phone (610) 277-4600

Other identifiers 2

IdentifierTypeStateIssuer
1007279900056MedicaidPA
1007279900055MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Central Behavioral Health18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1679958854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POWELL ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013820",
            "telephone_number": "610-277-4600",
            "fax_number": "610-275-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARYLAND RD STE 130",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901223",
            "telephone_number": "267-818-2220",
            "fax_number": "267-818-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "484-806-2006",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "142240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007279900056",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007279900055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.