Pennsylvania Autism Services

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

PENNSYLVANIA AUTISM SERVICES

Practice address

201 King of Prussia Rd Ste 650
Radnor, PA 19087-5156

Phone

(484) 590-5209

NPI assigned

Mar 21, 2019

Last updated

Sep 26, 2021By 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. Fajr Khalifah Elhadi, MSNPI 1538539713

Title

Behavior Specialist

Phone

(484) 590-5209

Specialties & licenses 1

Addresses

Tax ID family

Pennsylvania Autism Service2 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.

• Pennsylvania Autism Service

  • Adolescent and Children Mental Health Clinic/Center
  • Yeadon, PA
  • NPI 1881154482
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fajr Khalifah Elhadi, MS

  • Behavior Analyst
  • Yeadon, PA
  • NPI 1538539713
  NPD Authorized official

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1902366404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KING OF PRUSSIA RD STE 650",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875156",
            "telephone_number": "484-590-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KING OF PRUSSIA RD STE 650",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190875156",
            "telephone_number": "484-590-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 King Of Prussia Rd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Radnor",
            "state": "PA",
            "postal_code": "190875156",
            "country_code": "US",
            "telephone_number": "484-745-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Parkview Blvd",
            "address_purpose": "LOCATION",
            "city": "Yeadon",
            "state": "PA",
            "postal_code": "190503433",
            "country_code": "US",
            "telephone_number": "215-900-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNSYLVANIA AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "ELHADI",
        "authorized_official_first_name": "FAJR",
        "authorized_official_middle_name": "KHALIFAH",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "484-590-5209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristea Park, PT, DPT
• Karla M Pazzi
• Nathalia Pena, NONE
• Penn Rehab Agency at Radnor
• Pennslyvania Oncologh Hematology Associates (David M Mintzer MD)
• Pennsylvania Oncology Hematology Associates, PC (Pennsylvania Oncology Hematology Associates)
• Camila Perez Morales, BCBA
• Performance Physical Therapy & Fitness, Inc.
• Christian Peters, MD, PHD
• Tyrone Anthoney Phillips II

• Adolescent and Children Mental Health Clinic/Center in Radnor, PA
• Providers in Radnor, PA by specialty
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.