ELWYN OF PENNSYLVANIA AND DELAWARE
NPI 1013422526
Clinic/Center - Mental Health (Including Community Mental Health Center) in Media, PA

Active since December 06, 2017CLIA 39D0699352 · Waiver

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 7, 2022, Jan 26, 2022 and 2 more (5 updates tracked since 2017).

About Elwyn Of Pennsylvania And Delaware NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELWYN OF PENNSYLVANIA AND DELAWARE (NPI 1013422526) is a healthcare organization registered as a mental health (including community mental health center) in Media, Pennsylvania and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Donna K Busch, Director Payer Contracting, as its authorized official.

NPPES Registry Identity

NPI1013422526
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameELWYN OF PENNSYLVANIA AND DELAWARE
Location Address111 ELWYN RDMedia, PA 19063-4622
Mailing Address111 Elwyn RdElwyn, PA 19063-4622 · (610) 891-7079 · Fax (610) 891-2694
Organization SubpartNo
Authorized OfficialDonna K BuschDirector Payer Contracting · (445) 206-3028
Enumeration DateDecember 6, 2017
Last NPPES UpdateAugust 28, 20255 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1013422526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
111 ELWYN RD, Media, PA 19063

Other Names 1

Other NameElwyn Young Adult Residential Treatment Facility

Other Identifiers 1

Medicaid1000021240728PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0699352

Elwyn · Elwyn, PA
Active · expires Aug 13, 2027
CLIA Number39D0699352
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDr. Michele Shrikanthan
Laboratory Phone(610) 891-2400
Laboratory LocationElwyn111 Elwyn Road, Elwyn, PA 19063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
111 ELWYN RD
MEDIA, PA 19063
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Social Worker
111 ELWYN RD
ELWYN, PA 19063
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Local Education Agency (LEA)
111 ELWYN RD
ELWYN, PA 19063
Behavior Analyst
111 ELWYN RD
MEDIA, PA 19063
Physical Therapist
111 ELWYN RD
ELWYN, PA 19063
Day Training, Developmentally Disabled Services
111 ELWYN RD
ELWYN, PA 19063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elwyn Of Pennsylvania And Delaware's NPI number?

The NPI number for Elwyn Of Pennsylvania And Delaware is 1013422526. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider is also known as Elwyn Young Adult Residential Treatment Facility.

Where is Elwyn Of Pennsylvania And Delaware located?

Elwyn Of Pennsylvania And Delaware is located at 111 Elwyn Rd, Media, PA 19063. The listed phone number is (610) 891-7317.

What is Elwyn Of Pennsylvania And Delaware's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Elwyn Of Pennsylvania And Delaware hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0699352) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elwyn Of Pennsylvania And Delaware was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.