BLUE MOUNTAIN WELLNESS, PLLC (NPI# 1477113637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477113637 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN WELLNESS, PLLC |
| Practice Address |
415 W Main St Ste 105 Lansdale PA 19446-2062 |
| Practice Telephone | 2156472175 |
| Mailing Telephone | 2156472175 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MS. LUCILLE CONSTANTINE (OWNER) |
| Authorized Official Telephone | 2156472175 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | COMMERCIAL | 1194082347 | 01 |
| Street Address |
415 W MAIN ST STE 105 |
| City | LANSDALE |
| State | PA |
| Zip Code | 19446-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
| 1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
| 1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
| 1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
| 1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
| 1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
| 1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
| 1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
| 1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
| 1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
| Find all providers in zip 19446 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497983563 | Alla Fine | Psychiatry & Neurology | 6404 Roosevelt Blvd Ste 1c, Philadelphia, PA 19149-2943 | 2009-06-29 |
| 1952546780 | Herbert J. Steinberg | Psychiatry & Neurology | 1000 Hemlock Farms, Lords Valley, PA 18428-9066 | 2008-12-08 |
| 1639329840 | Altaf Suleman Kasmani | Psychiatry & Neurology | 226 N 6th St, Reading, PA 19601-3308 | 2008-09-24 |
| 1386650463 | Alexandra B Mclean | Psychiatry & Neurology | 150 Stafford Avenue - Bldg. 1 - 2nd Floor, Suite 210, Wayne, PA 19087-3114 | 2006-07-31 |
| 1437198363 | John J Worthington Md | Psychiatry & Neurology | 1000 York Rd, Willow Grove, PA 19090-1318 | 2006-06-06 |
| 1205832201 | Henry R Kranzler | Psychiatry & Neurology | 3900 Chestnut St, Philadelphia, PA 19104-3120 | 2005-06-23 |
| 1124631767 | The Art of Wellness Md | Psychiatry & Neurology | 610 Walnut St, Philadelphia, PA 19106 | 2020-08-24 |
| 1427438571 | Rayek Nafiz | Psychiatry & Neurology | 3910 N Powelton Ave, Philadelphia, PA 19104-2640 | 2015-06-04 |
| 1518383587 | Jaakko Lappalainen | Psychiatry & Neurology | 3900 Woodland Ave, Va/mirecc, Philadelphia, PA 19104-4551 | 2014-03-13 |
| 1437352887 | Julie Kmiec | Psychiatry & Neurology | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-06-05 |
| 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.