NATIONAL MENTOR HEALTHCARE LLC, D.B.A. PA MENTOR (NPI# 1487060638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487060638 |
| Entity Type | Organization |
| Organization Name | NATIONAL MENTOR HEALTHCARE LLC, D.B.A. PA MENTOR |
| Practice Address |
625 W Ridge Pike Bldg B, Suite 102 Conshohocken PA 19428-1180 |
| Practice Telephone | 8662711802 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | MICHAEL T. WILDER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6103535332 |
| Authorized Official Credential | MSHA CSOTS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 201400 | PA | Agencies |
| Street Address |
625 W RIDGE PIKE BLDG B, SUITE 102 |
| City | CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428-1180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730286097 | Plymouth Meeting Ambulatory Surgical Center LLC | Clinic/Center | 625 W Ridge Pike, Building B, Conshohocken, PA 19428-1180 | 2006-09-20 |
| 1467713321 | Aronchick Gastroenterology, Inc. | Internal Medicine | 625 W Ridge Pike, Building B, Conshohocken, PA 19428-1180 | 2012-06-06 |
| 1720386766 | Melissa Petersson | Speech-Language Pathologist | 625 W Ridge Pike, Building C Suite 105, Conshohocken, PA 19428-1180 | 2011-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1184102105 | Experience Chiropractic East, LLC | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428 | 2018-08-01 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467901793 | Mental Balance- Cognitive Behavioral Therapy | Community/Behavioral Health | 119 Harry St, First Floor, Conshohocken, PA 19428-1821 | 2016-09-28 |
| 1336633452 | Kate Altman Psyd LLC | Community/Behavioral Health | 923 Fayette St, Conshohocken, PA 19428-1531 | 2018-06-21 |
| 1912443094 | Revive Wellness | Community/Behavioral Health | 119 Harry St, First Floor, Conshohocken, PA 19428 | 2017-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447115 | Forward Plan LLC | Community/Behavioral Health | 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 | 2020-11-06 |
| 1821699240 | Eternal Renewal, LLC | Community/Behavioral Health | 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 | 2020-11-03 |
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1699373415 | Maternity Care Coalition | Community/Behavioral Health | 401 Dekalb St, Norristown, PA 19401-4909 | 2020-10-14 |
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1023624202 | Allied Health Care Services | Community/Behavioral Health | 1124 Scott St, Wilkes Barre, PA 18705-3737 | 2020-09-22 |
| 1518573708 | Mental Health Solution | Community/Behavioral Health | 2671 Darlington Rd, Beaver Falls, PA 15010-1280 | 2020-09-22 |
| 1629684584 | Peace & Clarity Counseling LLC | Community/Behavioral Health | 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 | 2020-09-16 |
| 1548874746 | Room 2 Grow, LLC | Community/Behavioral Health | 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 | 2020-09-04 |
| 1134733819 | Keeping It Real Counseling, LLC | Community/Behavioral Health | 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | CONSHOHOCKEN |
| Zip Code | 19428 |
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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.