MS. ELAINE B, AXELMAN (NPI# 1063745875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063745875 |
| Entity Type | Individual |
| Full Name | MS. ELAINE B, AXELMAN |
| Other Name | MRS. ELAINE AXELMAN BROUDY |
| Credential | MA |
| Practice Address |
825 Chauncey Rd Penn Valley PA 19072-1303 |
| Practice Telephone | 6106642560 |
| Mailing Telephone | 6106642560 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | PS00608L | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS | 84148 | 01 |
| Street Address |
825 CHAUNCEY RD |
| City | PENN VALLEY |
| State | PA |
| Zip Code | 19072-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369623 | Aleksandra Luba | Audiologist-Hearing Aid Fitter | 916 Montgomery Avenue, Narberth, PA 19072 | 2020-09-04 |
| 1629682240 | Michaila Maureen Hatty | Audiologist-Hearing Aid Fitter | 916 Montgomery Ave., Narberth, PA 19072 | 2020-09-01 |
| 1851873731 | Sun Young Lee-park | Social Worker | 1441 Flat Rock Rd, Penn Valley, PA 19072 | 2018-09-06 |
| 1255870135 | Danielle Huntsman | Nutritionist | 319 Price Avenue, Narberth, PA 19072 | 2017-02-13 |
| 1205282563 | Melissa M Rowe | Internal Medicine | 915 Montgomery Avenue, 4th Floor, Narberth, PA 19072 | 2016-05-05 |
| 1417320177 | Ashly Rhoads | Nurse Practitioner | 822 Montgomery Ave Ste 315, Narberth Family Medicine, Narberth, PA 19072 | 2015-11-03 |
| 1184090664 | Jessica Spatz-mcneary LLC | Psychologist | 402 Haverford Ave, Narberth, PA 19072 | 2015-08-19 |
| 1770969552 | Narberth Dental Group, LLC. | Dentist | 145 N. Narberth Ave., 2nd Floor, Narberth, PA 19072 | 2015-08-04 |
| 1336445642 | Sarah B. Klein | Nurse Practitioner | 915 Montgomery Ave Ste 400, Penn Valley, PA 19072 | 2011-02-03 |
| 1780994145 | Jacqueline Summers | Psychologist | 1600 Hagys Ford Road, Apt. 7n, Narberth, PA 19072 | 2010-10-19 |
| Find all providers in zip 19072 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| Find all providers with the same taxonomy | ||||
| City | PENN VALLEY |
| Zip Code | 19072 |
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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.