Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BUSCH (DIR. OF CONTRACT AND CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
12 N PRESTON ST, PHILADELPHIA, PA 19104-2211
(215) 895-5588
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-7007
(610) 891-2666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240620
—
PA
05
—
1000021240673
—
PA
05
—
1000021240674
—
PA
05
—
1000021240687
—
PA
05
—
1000021240691
—
PA
05
—
1000021240700
—
PA
05
—
1000021240714
—
PA
05
—
1000021240715
—
PA
05
—
1000021240716
—
PA
Enumeration date
02/07/2007
Last updated
09/17/2025
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