NPIMap

Organization Active NPI

Elwyn of Pennsylvania and Delaware

  • Community/Behavioral Health Agency
  • Elwyn, PA
National Provider Identifier
1952423683
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELWYN OF PENNSYLVANIA AND DELAWARE
Practice address
111 Elwyn Rd
Wraparound
Elwyn, PA 19063
Phone
(610) 891-2092
NPI assigned
Apr 4, 2007
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Donna Busch
Title
Payer Contract Specialist
Phone
(445) 206-3028

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

111 Elwyn Rd
Wraparound
Elwyn, PA 19063

Mailing address

111 Elwyn Rd
Elwyn, PA 19063-4622
Phone (610) 891-2092

Other practice location 1

3300 Henry Ave
Philadelphia, PA 19129-1141
Phone (215) 895-5588

Other practice location 2

4040 Market St
Philadelphia, PA 19104-3003
Phone (215) 895-5588

Other names 2

  • Elwyn Behavioral Health Outpatient Services Other name
  • Wraparound Other name

National Provider Directory

National Provider Directory
Tax ID family
Delaware Elwyn CTT61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1952423683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "WRAPAROUND",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-891-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Henry Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291141",
            "country_code": "US",
            "telephone_number": "215-895-5588",
            "fax_number": "215-895-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043003",
            "country_code": "US",
            "telephone_number": "215-895-5588",
            "fax_number": "215-895-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-02-16",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PAYER CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "445-206-3028"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elwyn Behavioral Health Outpatient Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wraparound",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wraparound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elwyn, PA

Sources for this page

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