CENTRAL BEHAVIORAL HEALTH (NPI# 1679958854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679958854 |
| Entity Type | Organization |
| Organization Name | CENTRAL BEHAVIORAL HEALTH |
| Practice Address |
2500 Maryland Rd Willow Grove PA 19090-1216 |
| Mailing Address |
1100 Powell St Norristown PA 19401-3820 |
| Practice Telephone | 6102774600 |
| Practice Fax Number | 6102750216 |
| Mailing Telephone | 6102774600 |
| Mailing Fax Number | 6102750216 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | ROBERT LOVE JR. (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6102774600 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
142240 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007279900056 | 05 | |
| PA | 1007279900055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755339 | Central Behavioral Health | Clinic/Center | 2500 Maryland Rd Ste 130, Willow Grove, PA 19090-1223 | 2020-09-16 |
| 1598227688 | Central Behavioral Health | Clinic/Center | 2500 Maryland Rd Ste 130, Willow Grove, PA 19090-1223 | 2019-04-05 |
| 1952863045 | Central Behavioral Health | Clinic/Center | 1100 Powell St, Norristown, PA 19401-3820 | 2019-04-05 |
| 1104324292 | Central Behavioral Health | Clinic/Center | 1211 Dekalb St, Norristown, PA 19401-3415 | 2018-01-24 |
| 1386142479 | Central Behavioral Health | Clinic/Center | 1211 Dekalb St, Norristown, PA 19401-3415 | 2018-01-24 |
| 1558585190 | Central Behavioral Health | Clinic/Center | 1201 Dekalb St, Norristown, PA 19401-3415 | 2007-04-13 |
| 1538383096 | Central Behavioral Health | Clinic/Center | 1100 Powell St, Norristown, PA 19401-3820 | 2007-04-13 |
| 1356565816 | Central Behavioral Health | Case Management | 1100 Powell St, Norristown, PA 19401-3820 | 2007-04-13 |
| 1265656722 | Central Behavioral Health | Clinic/Center | 1217 Dekalb St, Norristown, PA 19401-3415 | 2007-04-13 |
| 1174747638 | Central Behavioral Health | Clinic/Center | 1201 Dekalb St, Norristown, PA 19401-3415 | 2007-04-13 |
| Street Address |
2500 MARYLAND RD |
| City | WILLOW GROVE |
| State | PA |
| Zip Code | 19090-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376509794 | Christine M Mishalko | Specialist/Technologist | 2500 Maryland Rd, University Orthopaedic Institute- Suite 131, Willow Grove, PA 19090-1216 | 2006-04-25 |
| 1154948578 | Leah Rebecca Booze | Counselor | 2500 Maryland Rd, Willow Grove, PA 19090-1216 | 2020-07-01 |
| 1679927172 | Susan Riley | Physical Therapist | 2500 Maryland Rd, Willow Grove, PA 19090-1216 | 2016-04-20 |
| 1861749061 | Aaron Millard Sutton | Social Worker | 2500 Maryland Rd, Suite #309, Willow Grove, PA 19090-1216 | 2012-08-07 |
| 1063731370 | Tps Iv of Pa., LLC | Orthopaedic Surgery | 2500 Maryland Rd, Pennwood Building, Suite 131, Willow Grove, PA 19090-1216 | 2010-05-26 |
| 1922272087 | Michael Joseph Cubbin | Pharmacist | 2500 Maryland Rd, Suite G 30, Willow Grove, PA 19090-1216 | 2008-04-18 |
| 1225252067 | Central Montgomery Mental Health Mental Retardation Center | Case Management | 2500 Maryland Rd, Willow Grove, PA 19090-1216 | 2007-04-12 |
| 1619992302 | Diane Custer | Psychiatry & Neurology | 2500 Maryland Rd, Suite #309, Willow Grove, PA 19090-1216 | 2006-07-13 |
| 1891724795 | Abington Memorial Hospital | Psychiatry & Neurology | 2500 Maryland Rd, Suite #309, Willow Grove, PA 19090-1216 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122495 | Orna Kempler Azulay | Speech-Language Pathologist | 3515 W Moreland Rd, Willow Grove, PA 19090 | 2020-07-31 |
| 1396205654 | Randi Lynn Murat | Physical Therapist | 2500 W Moreland Rd Ste 2103, Willow Grove, PA 19090 | 2019-03-22 |
| 1780173690 | Garden Spring Center Snf LLC | Skilled Nursing Facility | 1113 North Easton Road, Willow Grove, PA 19090 | 2018-05-07 |
| 1740778976 | Dean Depice | Chiropractor | 1031 North York Rd, Willow Grove, PA 19090 | 2018-04-24 |
| 1679081095 | Darnell Marie Lorick | Registered Nurse | 1553 Rothley Ave, Willow Grove, PA 19090 | 2018-01-19 |
| 1750809364 | Eileen Black | Counselor | 4 Neshaminy Interplex Suite 202, Trevose, PA 19090 | 2017-09-03 |
| 1538615760 | Sarah Herstich | Social Worker | 208 N Easton Rd, Willow Grove, PA 19090 | 2016-08-28 |
| 1902252091 | Christina Amodei | Physical Therapist | 2519 Maryland Rd #250, Willowgrove, PA 19090 | 2016-05-09 |
| 1568838340 | Insights Counseling & Consulting LLC | Counselor | 2300 Computer Ave., C13, Willow Grove, PA 19090 | 2015-08-17 |
| 1376949016 | Courtney M Dedda | Physical Therapist | 1003 Easton Rd Ste 105c, Willow Grove, PA 19090 | 2014-11-07 |
| Find all providers in zip 19090 | ||||
| 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 |
|---|---|---|---|---|
| 1598227688 | Central Behavioral Health | Clinic/Center | 2500 Maryland Rd Ste 130, Willow Grove, PA 19090-1223 | 2019-04-05 |
| 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 | ||||
| City | WILLOW GROVE |
| Zip Code | 19090 |
Please comment or provide details below to improve the information on CENTRAL BEHAVIORAL HEALTH.
| 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.