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PSYCH REHAB
NPI 1245687235
Clinic/Center in Chester, PA

Active since May 19, 2016
301 W 15TH ST, CHESTER, PA 19013(610) 619-8700 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2021, Feb 8, 2019, May 19, 2016 (3 updates tracked since 2016).

About Psych Rehab NPPES

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

PSYCH REHAB (NPI 1245687235) is a healthcare organization registered as a clinic/center in Chester, Pennsylvania and active in the NPI registry since May 2016. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1245687235
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROSPECT CCMC, LLC
Location Address301 W 15TH STChester, PA 19013-5300
Mailing Address2600 W 9th StChester, PA 19013-2040 · (610) 447-2000 · Fax (610) 447-6620
Phone(610) 619-8700
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateMay 19, 2016
Last NPPES UpdateJanuary 15, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1245687235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

301 W 15TH ST, Chester, PA 19013
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Other Names 1

Other NamePsych Rehab

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.

SARAH KLINE RN
Registered Nurse (Psychiatric/Mental Health, Adult)
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 447-6595
DR. CHRISTOPHER LAWRENCE BARRETT DPM
Podiatrist
301 W 15TH ST, NORTH CAMPUS
CHESTER, PA 19013
Delaware County (610) 619-8400
JAVAI A GREEN
Case Manager/Care Coordinator
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8386
BREDAN LETTS BS
Counselor (Addiction (Substance Use Disorder))
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8600
MARTIN LINVILLE II BA
Counselor (Addiction (Substance Use Disorder))
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8700
LAUREN VIEWEG BA
Counselor (Addiction (Substance Use Disorder))
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8600
EMMA HERRNSTADT
Counselor (Mental Health)
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8709
PRISCILLA HARTZELL RN
Registered Nurse (Psychiatric/Mental Health, Adult)
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8738

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 Prospect Ccmc, LLC's NPI number?

The NPI number for Prospect Ccmc, LLC is 1245687235. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is also known as Psych Rehab.

Where is Prospect Ccmc, LLC located?

Prospect Ccmc, LLC is located at 301 W 15th St, Chester, PA 19013. The listed phone number is (610) 619-8700.

What is Prospect Ccmc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Prospect Ccmc, LLC was last updated on January 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.