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COMPLETE MIND CARE OF PA, LLC
NPI 1639947492
Clinic/Center - Adult Mental Health in Villanova, PA

Active since December 12, 2023
795 E LANCASTER AVE STE 210, VILLANOVA, PA 19085(215) 461-5760(215) 754-1705 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Complete Mind Care Of Pa, Llc NPPES

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

COMPLETE MIND CARE OF PA, LLC (NPI 1639947492) is a healthcare organization registered as an adult mental health in Villanova, Pennsylvania and active in the NPI registry since December 2023. The organization lists Mandie M Matthews, Director Of Cred & Contracting, as its authorized official.

NPPES Registry Identity

NPI1639947492
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOMPLETE MIND CARE OF PA, LLC
Location Address795 E LANCASTER AVE STE 210Villanova, PA 19085-1525
Mailing Address795 E Lancaster Ave Ste 210Villanova, PA 19085-1525 · (215) 461-5760 · Fax (215) 754-1705
Phone(215) 461-5760
Fax(215) 754-1705
Organization SubpartNo
Authorized OfficialMandie M MatthewsDirector Of Cred & Contracting · (610) 763-9413
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1639947492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
795 E LANCASTER AVE STE 210, Villanova, PA 19085
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Other Providers at the Same Location NPPES 7

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

MR. TERRY JAY PEURA CRNP
Nurse Practitioner
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000
CMC OF PA PC
Psychiatry & Neurology (Psychiatry)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000
SALLY RICE CRNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000
HANNAH BAUMSTEIN CRNP, RN, LPC
Nurse Practitioner (Psychiatric/Mental Health)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000
CHRISTINE LEIGH DEVINE MSN, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (609) 230-3477
ARMAND DIYENNO LCSW
Social Worker (Clinical)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000
DR. DAVID PEZZECA PSY.D.
Psychologist (Clinical)
795 E LANCASTER AVE STE 210
VILLANOVA, PA 19085
Delaware County (215) 254-6000

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 Complete Mind Care Of PA, LLC's NPI number?

The NPI number for Complete Mind Care Of PA, LLC is 1639947492. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Complete Mind Care Of PA, LLC located?

Complete Mind Care Of PA, LLC is located at 795 E Lancaster Ave Ste 210, Villanova, PA 19085. The listed phone number is (215) 461-5760.

What is Complete Mind Care Of PA, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Complete Mind Care Of PA, LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.