Main Line Affiliates
NPI 1083777239 · Psychiatry Physician · Radnor, PA
Provider details
- NPI number
- 1083777239
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Buongiorno, Exec. Vp & Cfo(484) 337-8481
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Main Line Behavioral Health Affiliates
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2016-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.