Organization Active NPI

Main Line Hospitals, Inc.

Doing business as Bryn Mawr Hospital

  • Psychiatric Hospital Unit
  • Bryn Mawr, PA
National Provider Identifier
1851401756
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
280701 Issued in PA
Legal business name
MAIN LINE HOSPITALS, INC.
Doing business as
Bryn Mawr Hospital
Practice address
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone
(610) 526-3000
NPI assigned
Aug 30, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MAIN LINE HOSPITALS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Leigh Ehrlich
Title
Chief Financial Officer
Phone
(484) 337-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 280701 PA Primary

Addresses

Primary practice location

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121

Mailing address

240 N Radnor Chester Rd
Radnor, PA 19087-5170
Phone (484) 337-1814

Other identifiers 1

IdentifierTypeStateIssuer
100735428MedicaidPA

Other names 1

  • Bryn Mawr Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000383 PA Part A Provider - Hospital 0648168955 Practice locations: Bryn Mawr, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851401756. Details of each certification follow.

Hospital certification: CCN 39S139

Legal name
MAIN LINE HOSPITALS, INC.
Doing business as
BRYN MAWR HOSPITAL PSYCHIATRIC UNIT
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1996 in PA
Enrollment address
130 S Bryn Mawr Ave
Bryn Mawr Hospital Psychiatric Unit
Bryn Mawr, PA 19010-3121
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bryn Mawr Hosp Dept of14 organizations share this tax ID, including this one
Part of
Bryn Mawr Hosp Dept of

Other organizations with this tax ID 13

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

View all 13

Locations

240 N Radnor Chester Rd
Ste 170
Wayne, PA 19087

Ownership & related parties

All disclosed owners & managing parties 34

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bradford S Koles Individual Corporate Director Jul 1, 2020
Nicole L Levine Individual Corporate Director Jul 1, 2025
Dalila L Wilson-Scott Individual Corporate Director Jul 1, 2022
Angela Meoli Individual Corporate Director Jul 1, 2024
Della C Payne Individual Corporate OfficerCorporate Secratary Nov 1, 2024
W-2 Managing EmployeeSr VP, General Counsel Nov 1, 1999
Andrew J Pennoni Individual Corporate Director Jul 1, 2025
Elizabeth Balderston Individual Corporate DirectorBoard Member Jul 1, 2010
Donna Havens Individual Corporate Director Jul 1, 2020
Andrea Anania Individual Corporate Director Jul 1, 2016
Yonathan Kebede Individual Corporate OfficerPresident - Paoli Hospital Jan 1, 2025
W-2 Managing EmployeeAd; Jun 1, 2021
Cheryl a Koch Individual Corporate Director Jul 1, 2019
Lori Reiner Individual Corporate Director Jul 1, 2025
William Stulginsky Individual Corporate Director Jul 1, 2023
Steven Higgins Individual Corporate Director Jul 1, 2021
Christopher Lee Bruner Individual Corporate Director Jul 1, 2017
John T Schwarz Individual Corporate OfficerPresident - Bryn Mawr Hospital Jan 1, 2021
W-2 Managing Employee Nov 1, 2013
Benjamin Richer Individual Corporate Director Jul 1, 2024
Robert W Frederick Individual Corporate Director Jul 1, 2018
Bharti Asnani Individual Corporate Director Jul 1, 2025
Deebeanne M. Tavani Individual Corporate Director Jul 1, 2021
Ellen Rinaldi Individual Corporate Director Jul 1, 2016
Barbara Gaspare Individual Corporate Director Jul 1, 2018
Main Line Health, Inc. Organization, Bryn Mawr, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1985
Ernest Gillan Individual Corporate Director Jul 1, 2018
Darrell Keith Giles Individual Corporate Director Jul 1, 2023
Leigh Ehrlich Individual Corporate OfficerTreasurer Jan 1, 2024
W-2 Managing EmployeeExecutive VP / Cfo Dec 1, 2023
Laura Nichtberger Individual Corporate Director Jul 1, 2023
Hope D'Oyley-Gay Individual Corporate Director Jul 1, 2024
Mary Beth Kingston Individual Corporate Director Jul 1, 2022
Colleen Arnold Individual Corporate Director Jul 1, 2025
Peter Havens Individual Corporate Director Jul 1, 2019
Cheryl Straup Individual Corporate OfficerChief Compliance & Privacy Officer Nov 6, 2023
Rosadele Plumari Individual Corporate OfficerVice President/Exec Dir - BMRH Oct 4, 2025
David Burcavage Individual Corporate Director Jul 1, 2025

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1851401756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N RADNOR CHESTER RD",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875170",
            "telephone_number": "484-337-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103121",
            "telephone_number": "610-526-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE HOSPITALS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIN LINE HOSPITALS, INC.",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "EHRLICH",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "484-337-2029"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "280701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100735428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bryn Mawr Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bryn Mawr Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.