NPIMap

Organization Active NPI

Prospect CCMC, LLC

Doing business as Crozer Chester Medical Center Geropsychiatry

  • Psychiatric Hospital Unit
  • Chester, PA
National Provider Identifier
1881348910
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
PROSPECT CCMC, LLC
Doing business as
Crozer Chester Medical Center Geropsychiatry
Practice address
1 Medical Center Blvd
Chester, PA 19013-3995
Phone
(610) 447-2000
NPI assigned
Feb 8, 2022
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PROSPECT CCMC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Robert Jon Elders
Title
Secretary
Phone
(714) 788-1249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013-3995

Mailing address

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-6261

Other names 1

  • Crozer Chester Medical Center Geropsychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crozer Health Pharmacy26 organizations share this tax ID, including this one
Part of
Crozer Health Pharmacy

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1881348910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133995",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT CCMC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPECT CCMC, LLC",
        "enumeration_date": "2022-02-08",
        "last_updated": "2024-04-30",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crozer Chester Medical Center Geropsychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.