Active NPI
Complete Mind Care of PA, LLC
- Psychiatry Physician
- Horsham, PA
National Provider Identifier
1831967603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- COMPLETE MIND CARE OF PA, LLC
- Practice address
- 721 Dresher Rd Ste 1100
Horsham, PA 19044-2216 - Phone
- (215) 461-5760
- Fax
- (215) 754-1705
- NPI assigned
- Dec 12, 2023
- 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
- Mandie M Matthews
- Title
- Director of Cred & Contracting
- Phone
- (610) 763-9413
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Mailing address
721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone (215) 461-5760
National Provider Directory
National Provider Directory- Tax ID family
- Complete Mind Care of PA LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Mental Health Clinic/Center
- Villanova, PA
- NPI 1639947492
-
- Adult Mental Health Clinic/Center
- Abington, PA
- NPI 1972218667
Locations
721 Dresher Rd
Ste 1100
Horsham, PA 19044
Phone (215) 254-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1831967603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 DRESHER RD STE 1100",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442216",
"telephone_number": "215-461-5760",
"fax_number": "215-754-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 DRESHER RD STE 1100",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442216",
"telephone_number": "215-461-5760",
"fax_number": "215-754-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE MIND CARE OF PA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-12",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "MATTHEWS",
"authorized_official_first_name": "MANDIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR OF CRED & CONTRACTING",
"authorized_official_telephone_number": "610-763-9413"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horsham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.