NPIMap

Organization Active NPI

Complete Mind Care of PA, LLC

  • Adult Mental Health Clinic/Center
  • Abington, PA
National Provider Identifier
1972218667
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COMPLETE MIND CARE OF PA, LLC
Practice address
1021 Old York Rd Ste 3
Abington, PA 19001-4625
Phone
(152) 546-6000
Fax
(215) 754-1705
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Mandie Matthews
Title
Director of Cred & Contracting
Phone
(610) 763-9413

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1021 Old York Rd Ste 3
Abington, PA 19001-4625

Mailing address

1021 Old York Rd Ste 3
Abington, PA 19001-4625
Phone (215) 461-5760

Other practice location 1

721 Dresher Rd Ste 1100
Horsham, PA 19044-2216
Phone (215) 461-5752

Other practice location 2

795 E Lancaster Ave Ste 250
Villanova, PA 19085-1500
Phone (215) 461-5760

National Provider Directory

National Provider Directory
Tax ID family
Complete Mind Care of PA LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1021 Old York Rd
Ste 4
Abington, PA 19001

1021 Old York Rd
Ste 3
Abington, PA 19001
Phone (215) 254-6000

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1972218667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 OLD YORK RD STE 3",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014625",
            "telephone_number": "215-461-5760",
            "fax_number": "215-754-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 OLD YORK RD STE 3",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190014625",
            "telephone_number": "152-546-6000",
            "fax_number": "215-754-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 Dresher Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442216",
            "country_code": "US",
            "telephone_number": "215-461-5752",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 E Lancaster Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851500",
            "country_code": "US",
            "telephone_number": "215-461-5760",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE MIND CARE OF PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MANDIE",
        "authorized_official_title_or_position": "DIRECTOR OF CRED & CONTRACTING",
        "authorized_official_telephone_number": "610-763-9413"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.