MAIN LINE PSYCHIATRIC ASSOC. LTD (NPI# 1487768487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768487 |
| Entity Type | Organization |
| Organization Name | MAIN LINE PSYCHIATRIC ASSOC. LTD |
| Other Organization Name | DEWITT H MONTGOMERY JR MD |
| Practice Address |
100 Lancaster Avenue 441 Lankenau Medical Building Wynnewood PA 19096 |
| Mailing Address |
Po Box 3012 Wilmington DE 19804 |
| Practice Telephone | 6104573744 |
| Practice Fax Number | 6106679123 |
| Mailing Telephone | 8004564629 |
| Mailing Fax Number | 3022242848 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DEWITT H MONTGOMERY JR. (PRESIDENT) |
| Authorized Official Telephone | 6104573744 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0242722 | PA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DEWITT H MONTGOMERY JR MD | Doing Business As Name - Organization |
| Street Address |
100 LANCASTER AVENUE 441 LANKENAU MEDICAL BUILDING |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528590684 | Kriti Pathak | Student in an Organized Health Care Education/Training Program | 100 Lancaster Avenue, Wynnewood, PA 19096 | 2017-03-29 |
| 1083069744 | Cristina Decesaris | Student in an Organized Health Care Education/Training Program | 100 Lancaster Avenue, Wynnewood, PA 19096 | 2016-05-02 |
| 1467831016 | Rishi Saigal | Internal Medicine | 100 Lancaster Avenue, Wynnewood, PA 19096 | 2015-05-28 |
| 1164855839 | Lisa M Igidbashian | Nurse Practitioner | 100 Lancaster Avenue, Suite 280 Lankenau Medical Science, Wynnewood, PA 19096 | 2013-08-16 |
| 1013210764 | Melinda R Milliken | Nurse Practitioner | 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096 | 2010-12-17 |
| 1811047418 | Rebecca Sarah Stern | Nurse Practitioner | 100 Lancaster Avenue, Department of Ob-gyn Ste 301 Lankenau Hospital, Wynnewood, PA 19096 | 2007-01-12 |
| 1134281140 | Shrita M Patel | Internal Medicine | 100 Lancaster Avenue, 222 Lankenau Mob South, Wynnewood, PA 19096 | 2006-12-15 |
| 1437243920 | Main Line Hand Surgery, PC | Specialist | 100 Lancaster Avenue, Suite 253 Lankenau Medical Bldg. E, Wynnewood, PA 19096 | 2006-10-02 |
| 1548374648 | Dewitt H Montgomery Jr. | Psychiatry & Neurology | 100 Lancaster Avenue, 441 Lankenau Medical Building, Wynnewood, PA 19096 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755048 | Russell E Phillips Md LLC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 415, Wynnewood, PA 19096-3439 | 2019-02-01 |
| 1821385204 | Jacqueline Eve Nemec | Psychiatry & Neurology | 406 Millers Lane, Wynnewood, PA 19096-1008 | 2011-07-06 |
| 1881887115 | Russell E. Phillips, M.d., P.C. | Psychiatry & Neurology | 31 Lankenau Medical Bldg. West, 100 Lancaster Avenue, Wynnewood, PA 19096-3450 | 2007-08-21 |
| 1942405451 | Maura Dunfey | Psychiatry & Neurology | 300 E Lancaster Ave Ste 211, Wynnewood, PA 19096-2142 | 2007-06-15 |
| 1982735445 | Gabriel Pinski | Psychiatry & Neurology | 411 Witley Rd, Wynnewood, PA 19096-2424 | 2007-03-08 |
| 1619026341 | Bernard E Comber Md PC | Psychiatry & Neurology | Lankenau Medical Building, 100 Lancaster Avenue Suite 441, Wynnewood, PA 19096 | 2007-01-10 |
| 1851453203 | Frederick Fisher | Psychiatry & Neurology | 378 Penn Road, Wynnewood, PA 19096-1810 | 2006-12-14 |
| 1417015033 | Marilyn Rohrer Curran | Psychiatry & Neurology | 1124 Indian Creek Rd, Wynnewood, PA 19096 | 2006-12-05 |
| 1437173994 | Judith Tan Navarro | Psychiatry & Neurology | 1448 Manoa Rd, Wynnewood, PA 19096-3502 | 2006-07-27 |
| 1871624163 | Isaiah Anatole Share | Psychiatry & Neurology | 100 E Lancaster Ave, West Mob, Ste 441, Wynnewood, PA 19096-3450 | 2007-03-08 |
| Find all providers in WYNNEWOOD | ||||
Please comment or provide details below to improve the information on MAIN LINE PSYCHIATRIC ASSOC. LTD.
| 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.