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MERAKEY PARKSIDE RECOVERY
NPI 1104611201
Community/Behavioral Health in Philadelphia, PA

Active since April 10, 2025CLIA 39D2341375 · Waiver
7979 STATE RD, PHILADELPHIA, PA 19136(215) 836-3131(215) 273-5975 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Merakey Parkside Recovery NPPES

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

MERAKEY PARKSIDE RECOVERY (NPI 1104611201) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Norman E Tilson, Corp Sr. Director Of Bus Ops, as its authorized official.

NPPES Registry Identity

NPI1104611201
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMERAKEY PARKSIDE RECOVERY
Location Address7979 STATE RDPhiladelphia, PA 19136-3407
Mailing Address620 Germantown PikeLafayette Hill, PA 19444-1810 · (215) 836-3131 · Fax (215) 273-5975
Phone(215) 836-3131
Fax(215) 273-5975
Organization SubpartNo
Authorized OfficialNorman E TilsonCorp Sr. Director Of Bus Ops · (215) 836-3131
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1104611201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7979 STATE RD, Philadelphia, PA 19136
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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 39D2341375

Merakey Parkside Recovery · Philadelphia, PA
Active · expires Mar 31, 2028
CLIA Number39D2341375
Laboratory TypeOutpatient Sud Clinic
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorDr. Shinette Sirmans-Mcrae
Laboratory Phone(267) 817-4198
Laboratory LocationMerakey Parkside Recovery7979 State Road Fernwood Cottage, Philadelphia, PA 19136
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

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

DR ALA STANFORD CENTER FOR HEALTH EQUITY
Family Medicine
7979 STATE RD
PHILADELPHIA, PA 19136
Philadelphia County (484) 270-6200

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 Merakey Parkside Recovery's NPI number?

The NPI number for Merakey Parkside Recovery is 1104611201. It was assigned to this organization in the NPPES registry on April 10, 2025.

Where is Merakey Parkside Recovery located?

Merakey Parkside Recovery is located at 7979 State Rd, Philadelphia, PA 19136. The listed phone number is (215) 836-3131.

What is Merakey Parkside Recovery's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Merakey Parkside Recovery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2341375) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Merakey Parkside Recovery was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.