NPIMap

Organization Active NPI

Kencrest Services

  • Intellectual & Developmental Disabilities Psychologist
  • Blue Bell, PA
National Provider Identifier
1922683473
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Legal business name
KENCREST SERVICES
Practice address
960A Harvest Dr Ste 100
Blue Bell, PA 19422-1991
Phone
(610) 825-9360
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Brandon Scott Zerr
Title
Director Client Finance
Phone
(610) 825-9360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X Primary

Addresses

Primary practice location

960A Harvest Dr Ste 100
Blue Bell, PA 19422-1991

Mailing address

960A Harvest Dr Ste 100
Blue Bell, PA 19422-1991
Phone (610) 825-9360

Other identifiers 1

IdentifierTypeStateIssuer
250570467MedicaidDE

National Provider Directory

National Provider Directory
Tax ID family
Kencrest Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

960A Harvest Dr
Ste 100
Blue Bell, PA 19422
Phone (267) 825-0051

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1922683473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR STE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221991",
            "telephone_number": "610-825-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR STE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221991",
            "telephone_number": "610-825-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENCREST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "ZERR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR CLIENT FINANCE",
        "authorized_official_telephone_number": "610-825-9360"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250570467",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.