PRIMECARE PSYCHIATRIC SERVICES LLC NPI 1659146587

NPI Information

  • NPI: 1659146587
  • Provider Name: PRIMECARE PSYCHIATRIC SERVICES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 122 W LANCASTER AVE
    STE 01
    SHILLINGTON, PA
    ZIP 19607
  • Phone: (484) 513-3935

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NPI Details

PRIMECARE PSYCHIATRIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Shillington, PA. PRIMECARE PSYCHIATRIC SERVICES LLC NPI is 1659146587. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 W LANCASTER AVE
STE 01
SHILLINGTON, PA
ZIP 19607-956
Phone: (484) 513-3935

The provider's authorized official is Tessy Alozie .
The authorized official title is Crnp and has the following contact phone number (484) 513-3935.

The enumeration date for this NPI number is 11/21/2023 and was last updated on 12/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103797513MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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