Healthcare Provider Details

I. General information

NPI: 1508593898
Provider Name (Legal Business Name): RACHEL CLARK HORVATH PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2022
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 PENNSYLVANIA AVE STE 105
FORT WASHINGTON PA
19034-3404
US

IV. Provider business mailing address

455 PENNSYLVANIA AVE STE 105
FORT WASHINGTON PA
19034-3404
US

V. Phone/Fax

Practice location:
  • Phone: 215-793-4546
  • Fax:
Mailing address:
  • Phone: 215-793-4546
  • Fax: 215-793-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN717891
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP026598
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP026598
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: