Organization · Type 2 NPI

Aviva Mental Health Services

Adult Mental Health Clinic/Center · Collingdale, PA

NPI number 1760974679 Active

Practice location

17 S Macdade Blvd # 105
Collingdale, PA 19023-1510

Fax (610) 522-4508

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	144120 (PA)

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

NPI record

NPI: 1760974679
Entity type: Organization (Type 2)
Issued: Jun 6, 2018
Last updated: Jun 6, 2018
Status: Active

Other names

<unavail>
Aviva Mental Health Services, Inc · doing business as
Aviva Mental Health Services, Inc · doing business as

Authorized official

Mrs. Susmaria Charles, MHS;CPSS
Clinical Director
(610) 522-4506

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1760974679

Aviva Mental Health Services's National Provider Identifier is 1760974679, issued on Jun 6, 2018. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Collingdale, PA. The record was last updated on Jun 6, 2018.