Active NPI
Rebecca Eleanya, MD
- Child & Adolescent Psychiatry Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101255501
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-4001
- NPI assigned
- Jun 15, 2010
- Last updated
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101255501 | VA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD453833 | PA |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
820 5th Ave
Chambersburg, PA 17201-4219
Phone (717) 709-7930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD453833 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients |
Locations
1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666
1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
320 Main St
Fl 2
Johnstown, PA 15901
Phone (814) 534-1095
100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
dba CHI Mastrine
- Family Medicine Physician
- Ebensburg, PA
- NPI 1124434162
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1154776797
-
- Geriatric Medicine (Family Medicine) Physician
- Crum Lynne, PA
- NPI 1619322112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1790006641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001"
}
],
"practiceLocations": [
{
"address_1": "820 5th Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014219",
"country_code": "US",
"telephone_number": "717-709-7930",
"fax_number": "717-709-7931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELEANYA",
"first_name": "REBECCA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-15",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101255501",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD453833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.