PENNDEL MENTAL HEALTH CENTER (NPI# 1104096973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104096973 |
| Entity Type | Organization |
| Organization Name | PENNDEL MENTAL HEALTH CENTER |
| Practice Address |
2005 Cabot Blvd W Langhorne PA 19047-1885 |
| Mailing Address |
2005 Cabot Blvd W Suite 100 Langhorne PA 19047-1885 |
| Practice Telephone | 2675872300 |
| Practice Fax Number | 2675872368 |
| Mailing Telephone | 2675872300 |
| Mailing Fax Number | 2675872305 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | MS. KAREN M GRAFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2675872300 |
| Authorized Official Credential | M.ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE ID | 1000019960006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346561842 | Penndel Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 4106 Lower Rd, Newportville, PA 19056-3223 | 2010-06-18 |
| 1023288891 | Penndel Mental Health Center | Community/Behavioral Health | 152 Monroe Ave, Penndel, PA 19047-4058 | 2008-03-07 |
| 1720302334 | Penndel Mental Health Center | Case Management | 1723 Woodbourne Rd, A-110, Levittown, PA 19057-1510 | 2010-03-25 |
| 1902076771 | Penndel Mental Health Center | Community/Behavioral Health | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| 1730359506 | Penndel Mental Health Center | Case Management | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| 1093985863 | Penndel Mental Health Center | Clinic/Center | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| 1649440413 | Penndel Mental Health Center | Clinic/Center | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| 1225208192 | Penndel Mental Health Center | Community/Behavioral Health | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| 1932379708 | Penndel Mental Health Center | Case Management | 1517 Durham Rd, Penndel, PA 19047-5707 | 2008-03-07 |
| Street Address |
2005 CABOT BLVD W |
| City | LANGHORNE |
| State | PA |
| Zip Code | 19047-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626254 | Rose Montgomery | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2020-10-12 |
| 1306499165 | Kimberly Binney | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2019-07-22 |
| 1639737075 | Ramero Hobdy | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2019-05-31 |
| 1861911216 | Aliaunda Laniya | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2017-09-18 |
| 1942723705 | Emily Bausher | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2017-07-24 |
| 1184160640 | Courtney Feldscher | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2017-01-09 |
| 1437502978 | Tyler Hendricks | Counselor | 2005 Cabot Blvd W, Langhorne, PA 19047-1885 | 2016-07-20 |
| 1720430259 | Robert Williams | Counselor | 2005 Cabot Blvd W, Suite 100, Langhorne, PA 19047-1885 | 2016-07-08 |
| 1053763599 | Aisha Spain | Counselor | 2005 Cabot Blvd W, Suite 100, Langhorne, PA 19047-1885 | 2016-07-08 |
| 1235587387 | Haley Ostrow | Counselor | 2005 Cabot Blvd W, Suite 100, Langhorne, PA 19047-1885 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
| 1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
| 1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
| 1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
| 1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
| 1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
| 1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
| 1609353291 | Eye and Facial Plastic Surgery Consultants LLC | Ophthalmology | 1203 Newtown-langhorne Road, Suite 120, Langhorne, PA 19047 | 2018-07-26 |
| 1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
| Find all providers in zip 19047 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757381 | Family Service Association of Bucks County | Clinic/Center | 501 Trenton Rd, Langhorne, PA 19047-5953 | 2011-10-13 |
| 1285126920 | Melanie Greenberg | Clinic/Center | 4 Cornerstone Dr, Langhorne, PA 19047-1314 | 2018-05-30 |
| 1023416179 | Family Service Association of Bucks County | Clinic/Center | 2001 Old Lincoln Hwy, Langhorne, PA 19047-3240 | 2014-12-05 |
| 1871745992 | Catherine M. Cahill, Psyd, PC | Clinic/Center | 305 Corporate Dr E, Langhorne, PA 19047-8009 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437092 | Northeast Counseling Service | Clinic/Center | 109 W Green St, Nanticoke, PA 18634-2212 | 2020-11-06 |
| 1356949663 | Christina Robidoux, Lpc | Clinic/Center | 321 Pine St Ste 207-208, Williamsport, PA 17701-6561 | 2020-10-09 |
| 1447857800 | Simple Healing LLC | Clinic/Center | 11 W 2nd St Unit 305, Bethlehem, PA 18015-1294 | 2020-10-07 |
| 1629683693 | Sunshine Counseling, LLC | Clinic/Center | 1093 Douglass Dr Apt A, Boyertown, PA 19512-7620 | 2020-09-15 |
| 1619582533 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 749 South St, Laporte, PA 18626-7019 | 2020-09-09 |
| 1023623956 | Sunshine Healing & Counseling | Clinic/Center | 328 Summit Ave Ste 120, Jenkintown, PA 19046-3134 | 2020-09-08 |
| 1376153940 | Nami Erie County Pa | Clinic/Center | 1611 Peach St Ste 218, Erie, PA 16501-2121 | 2020-08-07 |
| 1376161919 | Bryan Bass-riley Licensed Professional Counselor, LLC | Clinic/Center | 3825 Northern Pike Ste 202, Monroeville, PA 15146-2161 | 2020-07-09 |
| 1053937664 | Theosis Therapeutic Counseling | Clinic/Center | 982 E Pine St, Palmyra, PA 17078-2821 | 2020-06-19 |
| 1366065633 | Let's Talk Counseling, LLC | Clinic/Center | 510 Springfield Rd, Aldan, PA 19018-4227 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.