AVIVA MENTAL HEALTH SERVICES NPI 1760974679

NPI Information

  • NPI: 1760974679
  • Provider Name: AVIVA MENTAL HEALTH SERVICES
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Doing Business As: AVIVA MENTAL HEALTH SERVICES, INC
  • Address: 17 S MACDADE BLVD # 105
    COLLINGDALE, PA
    ZIP 19023
  • Phone: (610) 522-4506

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NPI Details

AVIVA MENTAL HEALTH SERVICES is an adult mental health clinic center in Collingdale, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. AVIVA MENTAL HEALTH SERVICES NPI is 1760974679. The provider is registered as an organization entity type.
The provider Is Doing Business As Aviva Mental Health Services, Inc.

The provider's business location address is:

17 S MACDADE BLVD # 105
COLLINGDALE, PA
ZIP 19023-510
Phone: (610) 522-4506
Fax: (610) 522-4508

The provider's authorized official is Susmaria Charles .
The authorized official title is Clinical Director and has the following contact phone number (610) 522-4506.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 6/6/2018.

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
1261QM0850XClinic/CenterAdult Mental Health144120PENNSYLVANIAYes

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
1144120MEDICAIDPENNSYLVANIA

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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