Organization
MERAKEY PENNSYLVANIA
Active
Organization
MERAKEY PENNSYLVANIA
Active
Other names
NHS Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK YACOVELLI (CFO)
(610) 260-4604
Entity
Organization
Contact information
Practice address
ONE NORWEGIAN PLAZA, SUITE 200, POTTSVILLE, PA 17901
(215) 836-3131
(215) 273-5975
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017441190
—
PA
Enumeration date
04/09/2007
Last updated
06/30/2026
Update your record
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