ADELPHOI VILLAGE INC. NPI 1841317575

NPI Information

NPI: 1841317575
Provider Name: ADELPHOI VILLAGE, INC.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1119 VILLAGE WAY
LATROBE, PA
ZIP 15650
Phone: (724) 520-1111
Get Directions

ADELPHOI VILLAGE, INC. is an addiction medicine psychiatry neurology in Latrobe, PA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ADELPHOI VILLAGE, INC. NPI is 1841317575. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1119 VILLAGE WAY
LATROBE, PA
ZIP 15650-201
Phone: (724) 520-1111
Fax: (724) 520-1878

The provider's authorized official is Dana Maldet .
The authorized official title is Director Of Revenue Cycle Managemen and has the following contact phone number (724) 804-7159.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 11/24/2020.

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
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	423910	PENNSYLVANIA	Yes
2	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	423910	PENNSYLVANIA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	423910	PENNSYLVANIA	No
4	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities	423910	PENNSYLVANIA	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness				No

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
1	1007447300019	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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