Delaware County Professional Services, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DELAWARE COUNTY PROFESSIONAL SERVICES, INC

Doing business as

LifeStance
LifeStance Health

Practice address

1055 E Baltimore Pike Ste 303
Media, PA 19063-5173

Phone

(610) 892-3800

Fax

(484) 468-1412

NPI assigned

Oct 25, 2006

Last updated

Aug 13, 2024By 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

Ryan Pardo

Title

Authorized Official

Phone

(206) 399-1493

Specialties & licenses 2

Addresses

Other names 2

• LifeStance Doing business as
• LifeStance Health Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Delaware County Professional Services2 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.

• Delaware County Professional Services

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1013384254
  NPD tax ID

Locations (25 of 29)

Practitioners 416

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.

• Douglas C Achtert, MSS, LSW

  • Clinical Social Worker
  • Media, PA
  • NPI 1710248091
  Medicare reassignment Care Compare group NPD
• Jocelyn Ackerman, LMFT

  • Marriage & Family Therapist
  • Center Valley, PA
  • NPI 1275916967
  Medicare reassignment Care Compare group NPD
• Robin Ackerman, LCSW

  • Clinical Social Worker
  • Doylestown, PA
  • NPI 1699363440

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Justine Adams, MS, NCC, LPC

  • Professional Counselor
  • Doylestown, PA
  • NPI 1922830900
  Medicare reassignment Care Compare group NPD
• Tiy Adams, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1912210535
  Medicare reassignment Care Compare group NPD
• Meghan Albal, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1740815414
  Medicare reassignment Care Compare group NPD
• Margaret Mary Albright, MS, LPC

  • Professional Counselor
  • Glen Mills, PA
  • NPI 1972608206
  Medicare reassignment Care Compare group NPD
• Mary Rose Aldrich, LPC

  • Professional Counselor
  • Haverford, PA
  • NPI 1134550155
  Medicare reassignment Care Compare group NPD
• Amanda Lynn Alleman, LPC

  • Professional Counselor
  • Exton, PA
  • NPI 1962076513
  Medicare reassignment Care Compare group NPD
• Scott R Ambrass, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1770048746

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Sarah Amon, LMFT

  • Marriage & Family Therapist
  • Philadelphia, PA
  • NPI 1639800907
  Medicare reassignment Care Compare group NPD
• Edith E Arijaje, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plymouth Meeting, PA
  • NPI 1003698283
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1952485864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E BALTIMORE PIKE STE 303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635173",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E BALTIMORE PIKE STE 303",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635173",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE COUNTY PROFESSIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeStance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifeStance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather De Vries
• Mary M. Decaro, M.D.
• Del-Val Foot & Ankle P C (Verma Pontarelli Assoc)
• Janine Dela Cruz, BCBA, LBS, MA
• Delaware County Juvenile Detention Center Family Planning
• Delaware County Rheumatology, PC
• Delaware County S.a.G.E.
• Delaware County Surgical Associates P.C.
• Delco Gastroenterology (Endoscopy Center of Delaware)
• Delco Gastroenterology P.C.

• Psychiatry Physician in Media, PA
• Providers in Media, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.