Provider Demographics
NPI:1629007752
Name:DELAWARE VALLEY MENTAL HEALTH FOUNDATIONS
Entity Type:Organization
Organization Name:DELAWARE VALLEY MENTAL HEALTH FOUNDATIONS
Other - Org Name:FOUNDATIONS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-345-0444
Mailing Address - Street 1:833 E BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2280
Mailing Address - Country:US
Mailing Address - Phone:215-345-0444
Mailing Address - Fax:215-345-7862
Practice Address - Street 1:833 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2280
Practice Address - Country:US
Practice Address - Phone:215-345-0444
Practice Address - Fax:215-345-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X, 261QM0855X, 323P00000X
PA116610283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Not Answered283Q00000XHospitalsPsychiatric Hospital
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007626860006Medicaid
PA1007626860002Medicaid
PA1007626860005Medicaid
PA1007626860003Medicaid
PA1007626860001Medicaid
PA1007626860003Medicaid