Organization Active NPI

FB Psychiatry PLLC

  • Adult Mental Health Clinic/Center
  • Elkins Park, PA
National Provider Identifier
1760310932
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FB PSYCHIATRY PLLC
Practice address
1400 Willow Ave
Elkins Park, PA 19027-3106
Phone
(267) 471-7219
NPI assigned
May 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Authorized official

Name
Joanne Kelly, PARALEGAL
Title
Credentialing Paralegal
Phone
(267) 471-7219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1400 Willow Ave
Elkins Park, PA 19027-3106

Mailing address

1400 Willow Ave
Elkins Park, PA 19027-3106

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1760310932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WILLOW AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WILLOW AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273106",
            "telephone_number": "267-471-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FB PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CREDENTIALING PARALEGAL",
        "authorized_official_telephone_number": "267-471-7219",
        "authorized_official_credential": "PARALEGAL"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.