Active NPI
Abh Pennsylvania Childrens Services Inc
- Community/Behavioral Health Agency
- Malvern, PA
National Provider Identifier
1942989199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ABH PENNSYLVANIA CHILDRENS SERVICES INC
- Practice address
- 100 Deerfield LN Ste 100
Malvern, PA 19355-2100 - Phone
- (610) 933-8110
- NPI assigned
- Jul 14, 2023
- 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
- Patricia Hillis-Clark
- Title
- Executive Director
- Phone
- (610) 329-2103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
100 Deerfield LN Ste 100
Malvern, PA 19355-2100
Mailing address
100 Deerfield LN Ste 100
Malvern, PA 19355-2100
Phone (610) 933-8110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102150 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Abh Pennsylvania Childrens Services Inc
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1942989199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEERFIELD LN STE 100",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552100",
"telephone_number": "610-933-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEERFIELD LN STE 100",
"city": "MALVERN",
"state": "PA",
"postal_code": "193552100",
"telephone_number": "610-933-8110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABH PENNSYLVANIA CHILDRENS SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "HILLIS-CLARK",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "610-329-2103"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102150",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.