Organization Active NPI

Complete Mind Care of PA, LLC

  • Psychiatry Physician
  • Horsham, PA
National Provider Identifier
1831967603
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Dec 12, 2023

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.