Provider Demographics
NPI:1083030746
Name:HEATHER C PINTO PSYD LLC
Entity Type:Organization
Organization Name:HEATHER C PINTO PSYD LLC
Other - Org Name:RENEWED HOPE FAMILY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:215-579-2180
Mailing Address - Street 1:790 NEWTOWN YARDLEY RD STE 422
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4503
Mailing Address - Country:US
Mailing Address - Phone:215-579-2180
Mailing Address - Fax:215-579-2060
Practice Address - Street 1:790 NEWTOWN YARDLEY RD STE 422
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4503
Practice Address - Country:US
Practice Address - Phone:215-579-2180
Practice Address - Fax:215-579-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016656103T00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty