Organization Active NPI

So Love Autistic Center

  • Community/Behavioral Health Agency
  • Newtown Square, PA
National Provider Identifier
1861758906
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SO LOVE AUTISTIC CENTER
Practice address
335 Bishop Hollow Rd
Newtown Square, PA 19073-3255
Phone
(610) 446-3680
Fax
(484) 652-2185
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Venus A David, M.ED, LBSNPI 1205455524
Title
Ceo/Clinical Director
Phone
(610) 446-3680

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
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

335 Bishop Hollow Rd
Newtown Square, PA 19073-3255

Mailing address

335 Bishop Hollow Rd
Newtown Square, PA 19073-3255
Phone (640) 446-3680

National Provider Directory

National Provider Directory
Tax ID family
So Love Autistic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

335 Bishop Hollow Rd
Newtown Square, PA 19073
Phone (610) 446-3680

335 Bishop Hollow Rd
Ste 100
Newtown Square, PA 19073

654 Church Ln
Yeadon, PA 19050

Practitioners & affiliated clinicians

Practitioners 1

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": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1861758906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733255",
            "telephone_number": "640-446-3680",
            "fax_number": "484-652-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BISHOP HOLLOW RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733255",
            "telephone_number": "610-446-3680",
            "fax_number": "484-652-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO LOVE AUTISTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "610-446-3680",
        "authorized_official_credential": "M.ED, LBS"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.