ELWYN (NPI# 1396995411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396995411 |
| Entity Type | Organization |
| Organization Name | ELWYN |
| Other Organization Name | EARLY CHILDHOOD PHILADELPHIA |
| Practice Address |
4025 Chestnut St Philadelphia PA 19104-3081 |
| Mailing Address |
111 Elwyn Rd Elwyn PA 19063-4622 |
| Practice Telephone | 6108912000 |
| Mailing Telephone | 6108912000 |
| Mailing Fax Number | 6108912106 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | MR. DANIEL REARDON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6108912021 |
| Authorized Official Credential | EX MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | 1000002124 | PA | Agencies |
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Early Childhood Philadelphia | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546245 | Elwyn | Community/Behavioral Health | 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1121 | 2018-01-11 |
| 1013422526 | Elwyn | Community/Behavioral Health | 1001 Sterigere St Bldg 9-af, Norristown, PA 19401-5300 | 2017-12-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1730542861 | Elwyn | Local Education Agency (LEA) | 419 Avenue of The States, 3rd Floor, Chester, PA 19013-4451 | 2016-04-05 |
| 1386898401 | Elwyn | Community/Behavioral Health | 2003 N 3rd St, Harrisburg, PA 17102-1804 | 2008-11-17 |
| 1083878482 | Elwyn | Community/Behavioral Health | 1347 Hausman Rd, Allentown, PA 18104-9063 | 2008-07-15 |
| 1164681821 | Elwyn | Community/Behavioral Health | 4017 Ludlow Street, Philadelphia, PA 19104 | 2008-06-06 |
| 1902072358 | Elwyn | Community/Behavioral Health | 4040 Market St, Family Based Mental Health Services, Philadelphia, PA 19104-3003 | 2008-05-06 |
| 1700910999 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 120 S Chester Pike, Glenolden, PA 19036-1840 | 2007-03-16 |
| 1336273523 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 126 S Chester Pike, Glenolden, PA 19036-1806 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELWYN | 111 Elwyn Rd, Media, PA 19063-4622 |
| New York State Corporations | ELWYN BUILDING SOLUTIONS, P.E., PLLC | 1155 Oberon Drive, King Ferry, Ny 13081 |
| System for Award Management (SAM) Entities | ELWYN CALIFORNIA REHABILITATION CENTER | 18325 Mt Baldy Cir, Fountain Valley, CA 92708-6115 |
| Massachusetts Corporations | ELWYN G. CAMPBELL ELEMENTARY PARENT-TEACHER ORGANIZATION | 145 Essex Street, New Bedford, MA 02745 |
| System for Award Management (SAM) Entities | ELWYN INDUSTRIES | 1 Judy Way, Aston, PA 19014-2262 |
| System for Award Management (SAM) Entities | ELWYN WILDFIRE | 1352 Northern Ct, Fort Collins, CO 80521-1275 |
| Colorado Business Entities | Elwyn Wildfire LLC | 1352 Northern Court, Fort Collins, CO 80521 |
| Street Address |
4025 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831105535 | Brendan M Greer | Psychiatry & Neurology | 4025 Chestnut St, First Floor, Philadelphia, PA 19104-3054 | 2006-08-01 |
| 1902448269 | Meghan Hayes | Speech-Language Pathologist | 4025 Chestnut St, Philadelphia, PA 19104-3081 | 2019-10-08 |
| 1588216600 | Jacqui Kodish | Occupational Therapist | 4025 Chestnut St, Philadelphia, PA 19104-3081 | 2019-07-09 |
| 1265811467 | Heather Greene | Speech-Language Pathologist | 4025 Chestnut St, Philadelphia, PA 19104-3081 | 2015-05-21 |
| 1265792014 | Alexandra Sarah Macy | Psychiatry & Neurology | 4025 Chestnut St, Philadelphia, PA 19104-3081 | 2012-05-25 |
| 1952689952 | Emma Steiner | Social Worker | 4025 Chestnut St, 1st Floor, Philadelphia, PA 19104-3081 | 2011-07-26 |
| 1477860294 | Dorothy Anne Thomas | Marriage & Family Therapist | 4025 Chestnut St, Philadelphia, PA 19104-3081 | 2010-09-01 |
| 1720284615 | Margaret S. Roth | Marriage & Family Therapist | 4025 Chestnut St, 1st Floor, Philadelphia, PA 19104-3054 | 2007-06-26 |
| 1710180716 | Kenneth Wayne Covelman | Psychologist | 4025 Chestnut St, Council for Relationships, Philadelphia, PA 19104-3054 | 2007-06-07 |
| 1164633491 | Nicole A Cleckley | Marriage & Family Therapist | 4025 Chestnut St, First Fl., Philadelphia, PA 19104-3054 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426055 | Flourish Aba Therapy | Early Intervention Provider Agency | 13109 Bustleton Ave Apt A29, Philadelphia, PA 19116-1634 | 2020-10-29 |
| 1922616945 | Scholars Academy LLC | Early Intervention Provider Agency | 9315 Banes St Fl 2, Philadelphia, PA 19115-4201 | 2020-07-15 |
| 1306488432 | Jillian Hendricks | Early Intervention Provider Agency | 2017 S Colorado St, Philadelphia, PA 19145-2911 | 2019-10-09 |
| 1063982148 | Fishers of Knowledge Special Beginnings Inc | Early Intervention Provider Agency | 8305 - 15 Ridge Avenue, Philadelphia, PA 19128-2113 | 2018-11-30 |
| 1538641287 | Janice Kirkland | Early Intervention Provider Agency | 5603 Woodbine Ave, Philadelphia, PA 19131-1321 | 2018-08-29 |
| 1245712900 | Staci Harris | Early Intervention Provider Agency | 2308 W Montgomery Ave Apt B, Philadelphia, PA 19121-3021 | 2018-08-29 |
| 1992286611 | Lisa M Osborne | Early Intervention Provider Agency | 1119 E Chelten Ave, Philadelphia, PA 19138-1821 | 2018-08-22 |
| 1720568595 | Taylor Isley-clark | Early Intervention Provider Agency | 2834 N Van Pelt St, Philadelphia, PA 19132-2643 | 2018-08-20 |
| 1124474697 | Maple Leaf Behavioral Services | Early Intervention Provider Agency | 1332 Disston St, Philadelphia, PA 19111-4502 | 2016-05-13 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.