OrganizationActive
Elwyn of Pennsylvania and Delaware
NPI 1215548615 · Community/Behavioral Health Agency · Media, PA
Provider details
- NPI number
- 1215548615
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Donna Busch, Payer Contract Specialist(445) 206-3028
Specialties & taxonomies
Agencies
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
111 Elwyn Rd
Media, PA 19063-4622
Phone: (610) 891-7007
Fax: (610) 891-2666
Street-level locationGet directions
Mailing address
111 Elwyn Rd
Media, PA 19063-4622
Other names (DBA / former)
- Other name
- Evergreen 2
Additional practice locations (1)
- 3300 Henry Ave Ste 113Philadelphia, PA 19129-1146Phone: (215) 254-2046
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.