Individual provider Active NPI

Joel F Lorah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Havertown, PA
National Provider Identifier
1801625900
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029621 Issued in PA
Practice address
472 Olympic Ave
Havertown, PA 19083-5106
Phone
(267) 566-0159
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029621 PA Primary

Addresses

Primary practice location

472 Olympic Ave
Havertown, PA 19083-5106

Mailing address

472 Olympic Ave
Havertown, PA 19083-5106
Phone (267) 566-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000009 PA Practitioner - Nurse Practitioner 5597297507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
P360 Care Services PLLC Dba Psych 360Group PAC ID 0244624633, 25 clinicians

Practice addresses (Care Compare)

1045 Wilmington Pike
West Chester, PA 19382-7421
Phone (330) 536-3746

120 Lakeside Dr
Worthington, PA 16262-5102
Phone (330) 536-3746

151 Goodview Dr
Apollo, PA 15613-8527
Phone (330) 536-3746

1717 Skyline Dr
Pittsburgh, PA 15227-1744
Phone (330) 536-3746

2018 Route 30
Ligonier, PA 15658-1172
Phone (330) 536-3746

217 Montgomery Ave
Haverford, PA 19041-1821
Phone (330) 536-3746

2413 Saint Norberts St
P360 Care Services PLLC
Pittsburgh, PA 15234-3001
Phone (330) 536-3746

246 Friendship Cir
Beaver, PA 15009-9704
Phone (330) 536-3746

2849 Big Rd
Zieglerville, PA 19492-1302
Phone (330) 536-3746

324 Lancaster Ave
Malvern, PA 19355-1863
Phone (330) 536-3746

3301 Market Place Blvd
Moon Township, PA 15108-9848
Phone (330) 536-3746

3450 Harts Run Rd
Glenshaw, PA 15116-3029
Phone (330) 536-3746

350 Old Gilkeson Rd
Pittsburgh, PA 15228-1063
Phone (330) 536-3746

360 Westminster Dr
P360 Care Services PLLC
Huntingdon, PA 16652-2737
Phone (330) 536-3746

500 Sandy Bank Rd
Media, PA 19063-1303
Phone (330) 536-3746

520 S New Castle St
P360 Care Services PLLC
New Wilmington, PA 16142-1446
Phone (330) 536-3746

5300 Old William Penn Hwy
Export, PA 15632-9354
Phone (330) 536-3746

576 Fred Rogers Dr
Latrobe, PA 15650-3822
Phone (330) 536-3746

66 Carey School Rd
Ligonier, PA 15658-8758
Phone (330) 536-3746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP029621PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P360 Care Services PLLC Dba Psych 360 Psychiatric/Mental Health CurrentSince Aug 3, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1801625900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 OLYMPIC AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835106",
            "telephone_number": "267-566-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 OLYMPIC AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835106",
            "telephone_number": "267-566-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORAH",
        "first_name": "JOEL",
        "middle_name": "F",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.