Organization Active NPI

Pamela Miller Lunardi, Psy.D., P.C.

  • Adult Mental Health Clinic/Center
  • Drexel Hill, PA
National Provider Identifier
1841589421
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PS016448 Issued in PA
Legal business name
PAMELA MILLER LUNARDI, PSY.D., P.C.
Practice address
3350 Township Line Rd
Drexel Hill, PA 19026-1925
Phone
(610) 853-8231
Fax
(610) 853-8238
NPI assigned
Apr 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Pamela Miller Lunardi, PSY.D.NPI 1598916504
Title
President
Phone
(610) 853-8231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PS016448 PA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X PS016448 PA

Addresses

Primary practice location

3350 Township Line Rd
Drexel Hill, PA 19026-1925

Mailing address

3350 Township Line Rd
Drexel Hill, PA 19026-1925
Phone (610) 853-8231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000015 PA Part B Supplier - Clinic/Group Practice 8426232307 Receives reassigned benefits from 1 practitioner
Practice locations: Drexel Hill, PA

National Provider Directory

National Provider Directory

Locations

3350 Township Line Rd
Drexel Hill, PA 19026
Phone (610) 853-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1841589421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-853-8231",
            "fax_number": "610-853-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-853-8231",
            "fax_number": "610-853-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA MILLER LUNARDI, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "LUNARDI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-853-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "PS016448",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "PS016448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.