Healthcare Provider Details

I. General information

NPI: 1619285004
Provider Name (Legal Business Name): PSYCARE SOLUTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8302 OLD YORK RD SUITE 12
ELKINS PARK PA
19027-1522
US

IV. Provider business mailing address

8302 OLD YORK RD SUITE 12
ELKINS PARK PA
19027-1522
US

V. Phone/Fax

Practice location:
  • Phone: 215-885-9700
  • Fax: 215-886-7678
Mailing address:
  • Phone: 215-885-9700
  • Fax: 215-886-7678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN003861
License Number StatePA

VIII. Authorized Official

Name: DR. ELLEN M ADELMAN
Title or Position: CEO/PRESIDENT
Credential: PH.D
Phone: 215-885-9700