Healthcare Provider Details

I. General information

NPI: 1588976658
Provider Name (Legal Business Name): MENTAL HEALTH PARTNERSHIPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 03/05/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 VETERANS HIGHWAY SUITE C-10
BRISTOL PA
19007
US

IV. Provider business mailing address

PO BOX 40049
PHILADELPHIA PA
19106-0049
US

V. Phone/Fax

Practice location:
  • Phone: 215-751-1800
  • Fax: 215-636-6300
Mailing address:
  • Phone: 215-751-1800
  • Fax: 215-636-6300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADRIANA TORRES-O'CONNOR
Title or Position: PRESIDENT AND CHIEF EXECUTIVE OFFIC
Credential: PSY.D., MBA
Phone: 215-751-1800