ADELPHOI VILLAGE INC. NPI 1841317575

NPI Information

  • NPI: 1841317575
  • Provider Name: ADELPHOI VILLAGE, INC.
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 1119 VILLAGE WAY
    LATROBE, PA
    ZIP 15650
  • Phone: (724) 520-1111

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NPI Details

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
12084A0401XPsychiatry & NeurologyAddiction Medicine423910PENNSYLVANIAYes
22084F0202XPsychiatry & NeurologyForensic Psychiatry423910PENNSYLVANIANo
32084N0400XPsychiatry & NeurologyNeurology423910PENNSYLVANIANo
42084P0005XPsychiatry & NeurologyNeurodevelopmental Disabilities423910PENNSYLVANIANo
5320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo

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
11007447300019MEDICAIDPENNSYLVANIA

What is NPI?

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

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