Active NPI
Main Line Hospitals, Inc.
Doing business as Bryn Mawr Hospital
- Psychiatric Hospital Unit
- Bryn Mawr, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 280701
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- MAIN LINE HOSPITALS, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100735428 | Medicaid | PA |
Other names 1
- Bryn Mawr Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jul 1, 1996 in PA
- Enrollment address
- 130 S Bryn Mawr Ave
Bryn Mawr Hospital Psychiatric Unit
Bryn Mawr, PA 19010-3121 - Hospital subgroups
- Psychiatric unit
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
Unit of hospital
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Paoli Hospital
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
0648168955
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
0648168955
-
dba Bryn Mawr Rehabilitation Hospital
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
0648168955
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
0648168955
-
dba Lankenau Ambulatory Pharmacy
- Community/Retail Pharmacy
- Wynnewood, PA
- NPI 1518755883
0648168955
National Provider Directory
National Provider Directory- Tax ID family
- Bryn Mawr Hosp Dept of
- 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.
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1336440700
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Exton, PA
- NPI 1043346141
-
- Ambulatory Surgical Clinic/Center
- Paoli, PA
- NPI 1154458909
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Broomall, PA
- NPI 1275660656
-
dba Bryn Mawr Rehabilitation Hospital
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
-
- Ambulatory Surgical Clinic/Center
- Bryn Mawr, PA
- NPI 1467589218
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1558674911
-
- Family Medicine Physician
- Broomall, PA
- NPI 1710216791
-
- Ambulatory Surgical Clinic/Center
- Wynnewood, PA
- NPI 1841327699
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bradford S Koles | Corporate Director | Jul 1, 2020 | |
| Nicole L Levine | Corporate Director | Jul 1, 2025 | |
| Dalila L Wilson-Scott | Corporate Director | Jul 1, 2022 | |
| Angela Meoli | Corporate Director | Jul 1, 2024 | |
| Della C Payne | Corporate Officer | Nov 1, 2024 | |
| W-2 Managing Employee | Nov 1, 1999 | ||
| Andrew J Pennoni | Corporate Director | Jul 1, 2025 | |
| Elizabeth Balderston | Corporate Director | Jul 1, 2010 | |
| Donna Havens | Corporate Director | Jul 1, 2020 | |
| Andrea Anania | Corporate Director | Jul 1, 2016 | |
| Yonathan Kebede | Corporate Officer | Jan 1, 2025 | |
| W-2 Managing Employee | Jun 1, 2021 | ||
| Cheryl a Koch | Corporate Director | Jul 1, 2019 | |
| Lori Reiner | Corporate Director | Jul 1, 2025 | |
| William Stulginsky | Corporate Director | Jul 1, 2023 | |
| Steven Higgins | Corporate Director | Jul 1, 2021 | |
| Christopher Lee Bruner | Corporate Director | Jul 1, 2017 | |
| John T Schwarz | Corporate Officer | Jan 1, 2021 | |
| W-2 Managing Employee | Nov 1, 2013 | ||
| Benjamin Richer | Corporate Director | Jul 1, 2024 | |
| Robert W Frederick | Corporate Director | Jul 1, 2018 | |
| Bharti Asnani | Corporate Director | Jul 1, 2025 | |
| Deebeanne M. Tavani | Corporate Director | Jul 1, 2021 | |
| Ellen Rinaldi | Corporate Director | Jul 1, 2016 | |
| Barbara Gaspare | Corporate Director | Jul 1, 2018 | |
| Main Line Health, Inc. | 5% Or Greater Direct Ownership Interest | Jul 1, 1985 | |
| Ernest Gillan | Corporate Director | Jul 1, 2018 | |
| Darrell Keith Giles | Corporate Director | Jul 1, 2023 | |
| Leigh Ehrlich | Corporate Officer | Jan 1, 2024 | |
| W-2 Managing Employee | Dec 1, 2023 | ||
| Laura Nichtberger | Corporate Director | Jul 1, 2023 | |
| Hope D'Oyley-Gay | Corporate Director | Jul 1, 2024 | |
| Mary Beth Kingston | Corporate Director | Jul 1, 2022 | |
| Colleen Arnold | Corporate Director | Jul 1, 2025 | |
| Peter Havens | Corporate Director | Jul 1, 2019 | |
| Cheryl Straup | Corporate Officer | Nov 6, 2023 | |
| Rosadele Plumari | Corporate Officer | Oct 4, 2025 | |
| David Burcavage | 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.
-
- Orthopaedic Surgery Physician
- Glen Mills, PA
- NPI 1285671065
Corporate Director
-
- Endocrinology, Diabetes & Metabolism Physician
- Bryn Mawr, PA
- NPI 1790707198
Corporate Director
-
- Endocrinology, Diabetes & Metabolism Physician
- Wynnewood, PA
- NPI 1780619759
Corporate Director
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Paoli Hospital
- General Acute Care Hospital
- Paoli, PA
- NPI 1215042114
Main Line Health, Inc.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
Main Line Health, Inc.
-
dba Bryn Mawr Rehabilitation Hospital
- Rehabilitation Hospital
- Malvern, PA
- NPI 1396850368
Main Line Health, Inc.
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
Main Line Health, Inc.
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
Main Line Health, Inc.
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.
-
- Psychiatry Physician
- Chester, PA
- NPI 1992119309
-
- Psychiatry Physician
- West Chester, PA
- NPI 1235557653
-
- Psychiatry Physician
- Danville, PA
- NPI 1184156580
-
- Psychiatry Physician
- Cherry Hill, NJ
- NPI 1205190030
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
- Main Line Fertility Center
- Main Line Fertility Clinic PC
- Main Line Fertility Clinic PC
- Main Line Hospitals, Inc.
- Main Line Hospitals, Inc. (Bryn Mawr Hospital)
- Main Line Medical Exercise, Inc.
- Main Line Orthopaedics PC
- Main Line Pathology Associates, PC
- Main Line Pediatric Therapy Center, Inc.
- Main Line Plastic Surgery P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.