NPIMap

Organization Active NPI

Aviva Mental Health Services Inc

  • Behavioral Neurology & Neuropsychiatry Physician
  • Collingdale, PA
National Provider Identifier
1922973528
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
Legal business name
AVIVA MENTAL HEALTH SERVICES INC
Practice address
14-20 Macdade Blvd Ste a
Collingdale, PA 19023-1822
Phone
(267) 745-5772
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Susmaria Charles, MHS
Title
Director
Phone
(610) 522-4506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084B0040X Primary

Addresses

Primary practice location

14-20 Macdade Blvd Ste a
Collingdale, PA 19023-1822

Mailing address

14-20 Macdade Blvd Ste a
Collingdale, PA 19023-1822
Phone (267) 745-5772

National Provider Directory

National Provider Directory
Tax ID family
Aviva Mental Health Serv6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

14-20 Macdade Blvd
Ste A
Darby, PA 19023
Phone (610) 522-4506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1922973528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-20 MACDADE BLVD STE A",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190231822",
            "telephone_number": "267-745-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-20 MACDADE BLVD STE A",
            "city": "COLLINGDALE",
            "state": "PA",
            "postal_code": "190231822",
            "telephone_number": "267-745-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIVA MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SUSMARIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-522-4506",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.