Bucks County Mental Health Clinic, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

126620 Issued in PA

Legal business name

BUCKS COUNTY MENTAL HEALTH CLINIC, INC.

Practice address

1270 Veterans Hwy
Suite F-10
Bristol, PA 19007-2588

Phone

(215) 788-5730

Fax

(215) 788-5737

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christine Torres Matrullo, PH.D.

Title

Executive Director

Phone

(215) 788-5730

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1801001938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 VETERANS HWY",
            "address_2": "SUITE F-10",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072588",
            "telephone_number": "215-788-5730",
            "fax_number": "215-788-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 VETERANS HWY",
            "address_2": "SUITE F-10",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072588",
            "telephone_number": "215-788-5730",
            "fax_number": "215-788-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY MENTAL HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "MATRULLO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "TORRES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-788-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "126620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101517530-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryman Family Chiropractic
• Jon H Bryman, DC
• Kelsi Buccella, SLP-CCC
• Bucks County Center for Independent Living
• Bucks County Family Care, P. C.
• Bucks County Pain and Perioperative PLLC
• Bucks County Rescue Squad
• Bucks County Women'S Healthcare, Inc
• Bucks Physician Associates, PC
• Lehien Bui, M.D.

• All providers in Bristol, PA
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.