Empower Youth, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PC004594 Issued in PA

Legal business name

EMPOWER YOUTH, LLC

Practice address

210 W Front St
Media, PA 19063-3101

Phone

(610) 565-4360

Fax

(610) 565-3076

NPI assigned

May 5, 2009

Last updated

Dec 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Margaret Mae Pruett-Saratan, MA, LPC, CCDPD

Title

President/Lead Counselor

Phone

(610) 742-7782

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1871727883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633101",
            "telephone_number": "610-565-4360",
            "fax_number": "610-565-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W FRONT ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633101",
            "telephone_number": "610-565-4360",
            "fax_number": "610-565-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER YOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "PRUETT-SARATAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT/LEAD COUNSELOR",
        "authorized_official_telephone_number": "610-742-7782",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, CCDPD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC004594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020417300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11767954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Emile H. Galib, M.D., P.C.
• Sandra Madeleine Emmanouilides, LCSW
• Kristen M. English, PSY.D.
• Audrey J. Ennis, MSW, LSW
• Lori Perikles Enriquez, RD
• Keri Eramo
• John Michael Erbicella, M.D.

• Community/Behavioral Health Agency in Media, PA
• Providers in Media, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.