MEDICARE: BLUE BELL PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1851259956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE BELL PSYCHIATRY

Provider Business Mailing Address
First Line	:	1730 WALTON RD STE 205
Second Line	:
City	:	BLUE BELL
State	:	PA
Zip	:	19422-2301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 WALTON RD STE 205
Second Line	:
City	:	BLUE BELL
State	:	PA
Zip	:	19422-2301
Country	:	US
Telephone Number	:	267-297-2289
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JAMES YI
Credential	:	MD
Telephone Number	:	267-297-2289

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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