Active NPI
Elwyn
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1902072358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ELWYN
- Practice address
- 4040 Market St
Family Based Mental Health Services
Philadelphia, PA 19104-3003 - Phone
- (610) 891-2000
- NPI assigned
- May 6, 2008
- Last updated
- Feb 19, 2022
- 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
- Donna K Busch
- Title
- Payer Contract Specialist
- Phone
- (445) 206-3028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4040 Market St
Family Based Mental Health Services
Philadelphia, PA 19104-3003
Mailing address
111 Elwyn Rd
Family Based Mental Health Services
Elwyn, PA 19063-4622
Phone (610) 891-2000
Other names 1
- Family Based Mental Health Services
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn Aston
Organizations with this tax ID in the same state 23
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Elwyn, PA
- NPI 1700926847
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1720128390
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1760522007
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1770789638
-
- Clinic/Center
- Allentown, PA
- NPI 1780811372
-
- Mental Illness Community Based Residential Treatment Facility
- Elwyn, PA
- NPI 1831391846
-
- Intellectual Disabilities Intermediate Care Facility
- Elwyn, PA
- NPI 1861525693
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1902946577
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1952441404
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Allentown, PA
- NPI 1952530453
-
- Early Intervention Provider Agency
- Elwyn, PA
- NPI 1952575367
-
- Local Education Agency (LEA)
- Chester, PA
- NPI 1730542861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645228800000",
"number": "1902072358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"address_2": "FAMILY BASED MENTAL HEALTH SERVICES",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MARKET ST",
"address_2": "FAMILY BASED MENTAL HEALTH SERVICES",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191043003",
"telephone_number": "610-891-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2022-02-19",
"certification_date": "2022-02-19",
"status": "A",
"authorized_official_last_name": "BUSCH",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PAYER CONTRACT SPECIALIST",
"authorized_official_telephone_number": "445-206-3028"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Based Mental Health Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Family Based Mental Health Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.