NPIMap

Organization Active NPI

Central Montgomery Mental Health Mental Retardation Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norristown, PA
National Provider Identifier
1710101274
Registry record updated Aug 22, 2020
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
CENTRAL MONTGOMERY MENTAL HEALTH MENTAL RETARDATION CENTER
Practice address
113 E Airy St Rear
Norristown, PA 19401-4932
Phone
(610) 272-4110
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey Alderfer, CPA
Title
Chief Financial Officer
Phone
(610) 277-4600

Specialties & licenses 1

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

Addresses

Primary practice location

113 E Airy St Rear
Norristown, PA 19401-4932

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100727990 0033MedicaidPA

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

Locations

1100 Powell St
Norristown, PA 19401
Phone (484) 806-2012

113 E Airy St
Rear
Norristown, PA 19401
Phone (610) 272-4110

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710101274",
    "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": "113 E AIRY ST REAR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014932",
            "telephone_number": "610-272-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTGOMERY MENTAL HEALTH MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALDERFER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-277-4600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727990 0033",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.