Healthcare Provider Details

I. General information

NPI: 1700771342
Provider Name (Legal Business Name): DELCO BEHAVIORAL HEALTH CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S CHESTER RD STE 301
SWARTHMORE PA
19081-1800
US

IV. Provider business mailing address

300 S CHESTER RD STE 301
SWARTHMORE PA
19081-1800
US

V. Phone/Fax

Practice location:
  • Phone: 484-472-7350
  • Fax: 484-472-7374
Mailing address:
  • Phone: 484-472-7350
  • Fax: 484-472-7374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS JAIMINI PATEL
Title or Position: OWNER
Credential:
Phone: 484-472-7350