ELWYN OF PENNSYLVANIA AND DELAWARE
NPI 1215548615
Community/Behavioral Health in Media, PA

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

The NPI number for Elwyn Of Pennsylvania And Delaware is 1215548615. It was assigned to this organization in the NPPES registry on August 11, 2020. The provider is also known as Evergreen 2.

Q: What is Elwyn Of Pennsylvania And Delaware's specialty?

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

Active since August 11, 2020

111 ELWYN RD, MEDIA, PA 19063(610) 891-7007(610) 891-2666 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Mar 7, 2022, Aug 11, 2020 (3 updates tracked since 2020).

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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 1215548615) is a healthcare organization registered as a community/behavioral health in Media, Pennsylvania and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Philadelphia and lists Donna K Busch, Payer Contract Specialist, as its authorized official.

NPPES Registry Identity

NPI1215548615

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameELWYN OF PENNSYLVANIA AND DELAWARE

Location Address111 ELWYN RDMedia, PA 19063-4622

Mailing Address111 Elwyn RdMedia, PA 19063-4622 · (610) 891-7007 · Fax (610) 891-2666

Phone(610) 891-7007

Fax(610) 891-2666

Organization SubpartNo

Authorized OfficialDonna K BuschPayer Contract Specialist · (445) 206-3028

Enumeration DateAugust 11, 2020

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1215548615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

111 ELWYN RD, Media, PA 19063

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Other Names 1

Other NameEvergreen 2

Secondary Practice Location 1

Location 13300 Henry Ave Ste 113Philadelphia, PA 19129-1146 · Phone (215) 254-2046

Other Identifiers 1

Medicaid1000021240700PA

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.

ELWYN OF PENNSYLVANIA AND DELAWARE

Clinic/Center (Mental Health (Including Community Mental Health Center))

111 ELWYN RD
MEDIA, PA 19063

Delaware County (610) 891-7317

MS. KIA MICHELE HUNTER M. S.

Counselor (Professional)

111 ELWYN RD
MEDIA, PA 19063

Delaware County (267) 666-7474

LONA OTERO OTRL

Occupational Therapist

111 ELWYN RD
ELWYN, PA 19063

Delaware County (610) 565-6770

SUSAN MATTHEWS LSW

Social Worker

111 ELWYN RD
ELWYN, PA 19063

Delaware County (610) 891-7007

FRANCESKA BENEDETTO MS, OT

Occupational Therapist

111 ELWYN RD
ELWYN, PA 19063

Delaware County (610) 891-2000

ELWYN

Local Education Agency (LEA)

111 ELWYN RD
ELWYN, PA 19063

Delaware County (610) 891-2519

RAMATULAI LATIFA KHAN

Behavior Analyst

111 ELWYN RD
MEDIA, PA 19063

Delaware County (302) 724-8114

VALERIE GRUBB LPT

Physical Therapist

111 ELWYN RD
ELWYN, PA 19063

Delaware County (610) 565-6770

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 1215548615. It was assigned to this organization in the NPPES registry on August 11, 2020. The provider is also known as Evergreen 2.

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) 891-7007.

What is Elwyn Of Pennsylvania And Delaware's specialty?

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

When was this NPI record last updated?

The NPPES record for Elwyn Of Pennsylvania And Delaware was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.