Organization Active NPI

Internet Behavioral Care, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Trevose, PA
National Provider Identifier
1962619841
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
INTERNET BEHAVIORAL CARE, PC
Practice address
4610 E Street Rd
Trevose, PA 19053-6612
Phone
(800) 366-0129
Fax
(215) 638-1299
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Glenn Gabris
Title
Chief Financial Officer
Phone
(610) 941-3348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4610 E Street Rd
Trevose, PA 19053-6612

Mailing address

4610 E Street Rd
Trevose, PA 19053-6612
Phone (800) 366-0129

National Provider Directory

National Provider Directory

Locations

700 S Henderson Rd
Ste 302B
Kng of Prussa, PA 19406
Phone (610) 265-6464

Practitioners & affiliated clinicians

Practitioners 2

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962619841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "800-366-0129",
            "fax_number": "215-638-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 E STREET RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536612",
            "telephone_number": "800-366-0129",
            "fax_number": "215-638-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNET BEHAVIORAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GABRIS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-941-3348",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.