MALVERN CONSTITUTION LLC
NPI 1952268195
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Malvern Constitution LLC's NPI number?

The NPI number for Malvern Constitution LLC is 1952268195. It was assigned to this organization in the NPPES registry on January 8, 2026. The provider is doing business as Malvern Behavioral Health.

Q: What is Malvern Constitution LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since January 08, 2026

1930 S BROAD ST, PHILADELPHIA, PA 19145(610) 480-8919(610) 480-8944 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Malvern Constitution Llc NPPES

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

MALVERN CONSTITUTION LLC (NPI 1952268195), doing business as Malvern Behavioral Health, is a healthcare organization registered as a psychiatry in Philadelphia, Pennsylvania and active in the NPI registry since January 2026. The organization maintains a secondary practice location in Philadelphia and lists Glenn Gabris, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1952268195

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameMALVERN CONSTITUTION LLC

Location Address1930 S BROAD STPhiladelphia, PA 19145-2328

Mailing Address2 Valley Square, 512 E Township Line Road, Suite 115Philadelphia, PA 19422-2700 · (610) 941-3390

Phone(610) 480-8919

Fax(610) 480-8944

Organization SubpartNo

Authorized OfficialGlenn GabrisChief Financial Officer · (610) 941-3390

Enumeration DateJanuary 8, 2026

NPPES CertifiedJanuary 8, 2026

✔ NPI 1952268195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1930 S BROAD ST, Philadelphia, PA 19145

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Other Names 1

Doing Business AsMalvern Behavioral Health

Secondary Practice Location 1

Location 13905 Ford RdPhiladelphia, PA 19131-2824 · Phone (610) 480-8919 · Fax (610) 480-8944

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malvern Constitution Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Malvern Constitution LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner6

Psychiatry4

Clinicians, nearest first (10)

Gladys Paasewe, MSN, CRNP, PMHNP-BC

Nurse Practitioner

NPI 1265256622

1930 S BROAD ST
Philadelphia, PA 19145

(610) 480-8919

✔ PECOSSame address

Radhika Rani, DO

Psychiatry

NPI 1588234975

1930 S BROAD ST
Philadelphia, PA 19145

(610) 480-8919

✔ PECOSSame address

Tina Thach, PMHNP-BC

Nurse Practitioner

NPI 1508507856

1930 S BROAD ST
Philadelphia, PA 19145

(267) 752-9203

✔ PECOSSame address

Faridatu Toffa

Nurse Practitioner

NPI 1992594840

1930 S BROAD ST UNIT 4
Philadelphia, PA 19145

(610) 647-0330

✔ PECOSSame address

Claudia Atoulon, CRNP

Nurse Practitioner

NPI 1780385385

1930 S BROAD ST
Philadelphia, PA 19145

(610) 480-8919

✔ PECOSSame address

Franklyn Boothe, MD

Psychiatry

NPI 1215433297

3905 FORD RD
Philadelphia, PA 19131

(610) 647-0330

✔ PECOS5.4 mi

Nadia Zandy, CRNP

Nurse Practitioner

NPI 1164137519

561 FAIRTHORNE AVE
Philadelphia, PA 19128

(215) 487-4000

✔ PECOS✔ Accepts Medicare8.5 mi

Peter Swanljung, MD

Psychiatry

NPI 1770620478

240 FITZWATERTOWN RD
Willow Grove, PA 19090

(610) 647-0330

✔ PECOS16 mi

Janet Landis, PMHNP, B.C.

Nurse Practitioner

NPI 1891546669

2281 SCHLOSSER RD
Harleysville, PA 19438

(610) 955-9914

✔ PECOS23 mi

Sanketh Sukesh, MD

Psychiatry

NPI 1558003061

420 S 5TH AVE OFC M1
West Reading, PA 19611

(484) 628-8000

✔ PECOS50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Malvern Constitution LLC's NPI number?

The NPI number for Malvern Constitution LLC is 1952268195. It was assigned to this organization in the NPPES registry on January 8, 2026. The provider is doing business as Malvern Behavioral Health.

Where is Malvern Constitution LLC located?

Malvern Constitution LLC is located at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (610) 480-8919.

What is Malvern Constitution LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Malvern Constitution LLC enrolled in Medicare?

Yes. Malvern Constitution LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Malvern Constitution LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Malvern Constitution LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Psychiatry (4). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Malvern Constitution LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.