SOURCE BEHAVIORAL HEALTH SERVICES, LLC (NPI# 1841816204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841816204 |
| Entity Type | Organization |
| Organization Name | SOURCE BEHAVIORAL HEALTH SERVICES, LLC |
| Practice Address |
301 Oxford Valley Rd Ste 1302 Yardley PA 19067-7706 |
| Mailing Address |
6278 N Federal Hwy Fort Lauderdale FL 33308-1916 |
| Practice Telephone | 8772562215 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | MARJORIE ALLEN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9549499016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
301 OXFORD VALLEY RD STE 1302 |
| City | YARDLEY |
| State | PA |
| Zip Code | 19067-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1558833780 | Bucks Behavioral Healthcare, LLC | Clinic/Center | 81 Big Oak Rd, Suite 102, Morrisville, PA 19067 | 2018-12-28 |
| 1952838690 | Capstone Behavioral Associates Inc. | Psychiatry & Neurology | 33 S Delaware Ave Ste 105, Yardley, PA 19067 | 2017-05-12 |
| 1386187474 | Patient Direct Rx | Pharmacy | 301 Oxford Valley Road, Suite 1203a, Yardley, PA 19067 | 2016-11-22 |
| 1275981011 | K & S Counseling Services, LLC | Community/Behavioral Health | 1790 Yardley-langhorne Road Heston Hall, Suite 107, Yardley, PA 19067 | 2016-06-02 |
| 1164877361 | Vitacom | Dietitian, Registered | 1695 Susan Circle, Yardley, PA 19067 | 2016-04-26 |
| 1316309792 | Lisa Fobian | Counselor | 70-90 W. Afton Avenue, Suite 101, Yardley, PA 19067 | 2016-03-24 |
| 1720474968 | Stephen Vanni | Internal Medicine | 1050 Stony Hill Rd, Yardley, PA 19067 | 2015-04-14 |
| 1376943712 | Lang Massage Services | Massage Therapist | 33 South Delaware Ave.suite #201, Yardley, PA 19067 | 2014-09-03 |
| 1427457068 | Brian Sung Wook Yoon | Acupuncturist | 81 Big Oak Rd Suite 105, Yardley, PA 19067 | 2014-08-20 |
| Find all providers in zip 19067 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174908479 | Life of Purpose - Pennsylvania | Clinic/Center | 90 W Afton Ave Ste 101, Yardley, PA 19067-1421 | 2015-07-28 |
| 1699106971 | Kare Services, LLC | Clinic/Center | 301 Oxford Valley Rd, Suite 1402, Yardley, PA 19067-7706 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| 1841760865 | Kennedy Addiction Recovery Center, LLC | Clinic/Center | 5006 E Trindle Rd Ste 200, Mechanicsburg, PA 17050-3647 | 2018-12-03 |
| 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.