MONTE NIDO PENNSYLVANIA, LLC (NPI# 1467806539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467806539 |
| Entity Type | Organization |
| Organization Name | MONTE NIDO PENNSYLVANIA, LLC |
| Other Organization Name | EATING DISORDER CENTER OF PENNSYLVANIA |
| Practice Address |
789 E Lancaster Ave Ste 130 Villanova PA 19085-1521 |
| Mailing Address |
6100 Sw 76th St South Miami FL 33143-5002 |
| Practice Telephone | 6105818820 |
| Mailing Telephone | 3056631876 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MIKE BAGLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3056631876 |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTE NIDO HOLDINGS, LLC |
| 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 |
| Other Name | Type Code |
|---|---|
| Eating Disorder Center of Pennsylvania | Doing Business As Name - Organization |
| Street Address |
789 E LANCASTER AVE STE 130 |
| City | VILLANOVA |
| State | PA |
| Zip Code | 19085-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1467721555 | Bruce Freundlich | Internal Medicine | 1252 Lakemont Rd, Villanova, PA 19085 | 2011-12-20 |
| 1710276217 | Eileen Cohler Helzner | Family Medicine | 729 Canterbury Lane, Villanova, PA 19085 | 2011-04-05 |
| 1811213929 | Lauren Ann Kostelnik | Pediatrics | 789 E Lancaster Ave Ste 10, Villanova, PA 19085 | 2010-04-14 |
| 1306004338 | Richard Allen Davis | General Acute Care Hospital | 1238 Meadowbank Rd, Villanova, PA 19085 | 2008-05-27 |
| 1891870788 | Leeann M. Webb | Nurse Practitioner | Nemours Dupont Pediatrics, Villanova, 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085 | 2006-10-26 |
| 1508865304 | Christine S Stanko | Dermatology | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2005-07-14 |
| 1184621930 | Lee A. Bowers | Psychologist | 210 Tower Rd, Villanova, PA 19085 | 2005-07-07 |
| 1457734238 | Amanda Cubbage | Physical Therapist | 734 E Lancaster Ave, Villanova, PA 19085 | 2015-06-30 |
| 1346298601 | Lynn T Williams | Physician Assistant | 775 E Lancaster Ave Ste 200, Villanova, PA 19085 | 2006-05-05 |
| Find all providers in zip 19085 | ||||
| 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 |
|---|---|---|---|---|
| 1699963900 | Suburban Psychological Services, Inc. | Clinic/Center | 210 Tower Rd, Villanova, PA 19085-1214 | 2007-10-11 |
| 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.