Main Line Behavioral Health Affiliates

LBN: Main Line Affiliates
Main Line Behavioral Health Affiliates is an health care organization with primary practice located at 1 Radnor Corporate Ctr Suite 400, Radnor PA 19087-4515. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Main Line Affiliates can be contacted via phone (610) 254-1450, or through Buongiorno, Michael J via phone (484) 337-8481.

Contact Information

Primary practice address
1 Radnor Corporate Ctr Suite 400 Radnor PA 19087-4515
Phone: (610) 254-1450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buongiorno, Michael J
Phone: (484) 337-8481

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 237078 Pennsylvania
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 151081 Pennsylvania

Profile Details

NPI number 1083777239
LBN Legal business name Main Line Affiliates
DBA Doing business as Main Line Behavioral Health Affiliates
Authorized official Buongiorno, Michael J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated May 18th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083777239 NPPES
Other 293195 VALUEOPTIONS - MLA
Other 471443000 VALUEOPTIONS - MLA
Other 2089835 VALUEOPTIONS - MLA
Other 2983830 VALUEOPTIONS - MLA
Other 2089834 VALUEOPTIONS - MLA
Other 231200000 VALUEOPTIONS - MLA
Other 280110000 VALUEOPTIONS - MLA
Other 0664704000 VALUEOPTIONS - MLA
MEDICAID 1007726370011 VALUEOPTIONS - MLA
Other 101825 VALUEOPTIONS - MLA
Other 2317419000 VALUEOPTIONS - MLA
Other 101823 VALUEOPTIONS - MLA
Other 101824 VALUEOPTIONS - MLA
Other 2983910 VALUEOPTIONS - MLA
Other 0470009 VALUEOPTIONS - MLA
Other 7985197 VALUEOPTIONS - MLA

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