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: August 16, 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

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.

MISS JAQUELINE D INTRIAGO

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

MS. SHEARA YOUNG

Social Worker (Clinical)

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4405

MS. SHINIA BRADLEY RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

AMANDA MICHELLE AYALA COTA

Occupational Therapy Assistant

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (267) 570-5342

DR. NIMESH PATEL MD

Hospitalist

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (267) 570-5200

SITAR ENTERPRISE LLC

Pharmacy (Community/Retail Pharmacy)

1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145

Philadelphia County (215) 661-1211

CHRISTINE MATTEO RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

MRS. PATRICIA ANNE WESTERFER RN

Registered Nurse

1930 S BROAD ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 339-4563

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.

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 7 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.