MAIN LINE DAY, LLC


Address: 487 Devon Park Drive, Suite 207, Wayne, PA 19087
Phone: 4845844213

MAIN LINE DAY, LLC (NPI# 1316494958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316494958
Entity Type Organization
Organization Name MAIN LINE DAY, LLC
Practice Address 487 Devon Park Drive
Suite 207
Wayne
PA 19087
Practice Telephone 4845844213
Mailing Telephone 4845844213
Enumeration Date 2016-09-01
Last Update Date 2017-02-20
Authorized Official Name BONNIE SILVERBERG (OFFICE MANAGER/OWNER)
Authorized Official Telephone 4845844213
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 103TP0016X Psychologist
Specialization: Prescribing (Medical)
Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 487 DEVON PARK DRIVE
SUITE 207
City WAYNE
State PA
Zip Code 19087

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NPI Name Taxonomy Address Enumeration
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1366980153 Jodi Miller Physical Therapist 999 Old Eagle School Rd., Suite 106, Wayne, PA 19087 2017-02-01
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1952800625 Harmony Family Counseling Clinic/Center 1581 Route 23 Ste 2, Wayne, NJ 07470-7506 2018-02-07

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1053937664 Theosis Therapeutic Counseling Clinic/Center 982 E Pine St, Palmyra, PA 17078-2821 2020-06-19
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Competitor

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City WAYNE
Zip Code 19087

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Dataset Information

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.

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