Organization Active NPI

Elwyn

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1902072358
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn Aston61 organizations share this tax ID, including this one

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.

View all 23

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.

Verify at the official NPI Registry.