Active NPI
Melmark, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Berwyn, PA
National Provider Identifier
1861568107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 123940
- Legal business name
- MELMARK, INC.
- Practice address
- 2600 Wayland Rd
Berwyn, PA 19312-2307 - Phone
- (610) 353-1726
- Fax
- (610) 353-4956
- NPI assigned
- Nov 28, 2006
- Last updated
- Dec 9, 2025
- 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
- Mr. Thomas J Crofcheck, CPA
- Title
- Vice President & Cfo
- Phone
- (610) 325-4935
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Developmental Disabilities Clinic/Center | 261QD1600X | NU | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NU | ||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 123940 | PA | Primary |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | ||
| Psychiatric Residential Treatment Facility | 323P00000X | 123940 | PA | |
| Nurse Practitioner | 363L00000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | PA | ||
| Registered Nurse | 163W00000X | NU | ||
| Licensed Practical Nurse | 164W00000X | NU | ||
| Family Medicine Physician | 207Q00000X | PA | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | PA | ||
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | PA |
Addresses
Primary practice location
2600 Wayland Rd
Berwyn, PA 19312-2307
Mailing address
2600 Wayland Rd
Berwyn, PA 19312-2307
Phone (610) 353-1726
Other practice location 1
2600 Wayland Rd
Berwyn, PA 19312-2307
Phone (610) 325-2942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002358 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Behavior Analyst
- Andover, MA
- NPI 1992066716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765238400000",
"number": "1861568107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 WAYLAND RD",
"city": "BERWYN",
"state": "PA",
"postal_code": "193122307",
"telephone_number": "610-353-1726",
"fax_number": "610-353-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 WAYLAND RD",
"city": "BERWYN",
"state": "PA",
"postal_code": "193122307",
"telephone_number": "610-353-1726",
"fax_number": "610-353-4956"
}
],
"practiceLocations": [
{
"address_1": "2600 Wayland Rd",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "PA",
"postal_code": "193122307",
"country_code": "US",
"telephone_number": "610-325-2942",
"fax_number": "610-325-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MELMARK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A",
"authorized_official_last_name": "CROFCHECK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT & CFO",
"authorized_official_telephone_number": "610-325-4935",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "PA",
"license": "123940",
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "PA",
"license": "123940",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002358",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.