Active NPI
Penn Foundation, Inc
- Community/Behavioral Health Agency
- Sellersville, PA
National Provider Identifier
1821584079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 097053
- Legal business name
- PENN FOUNDATION, INC
- Practice address
- 711 Lawn Ave
Sellersville, PA 18960-1575 - Phone
- (215) 257-6551
- Fax
- (215) 257-9347
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Reaser
- Title
- Executive Coordinator
- Phone
- (215) 453-5162
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 097053 | PA | Primary |
Addresses
Primary practice location
711 Lawn Ave
Sellersville, PA 18960-1575
Mailing address
807 Lawn Ave
Sellersville, PA 18960-1594
Phone (215) 257-6551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531180800000",
"number": "1821584079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601594",
"telephone_number": "215-257-6551",
"fax_number": "215-257-9347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601575",
"telephone_number": "215-257-6551",
"fax_number": "215-257-9347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENN FOUNDATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A",
"authorized_official_last_name": "REASER",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE COORDINATOR",
"authorized_official_telephone_number": "215-453-5162"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "097053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.