Main Line Affiliates
Substance Use Disorder Rehabilitation Clinic/Center in Radnor, Pennsylvania
NPI 1083777239
Main Line Affiliates is a Substance Use Disorder Rehabilitation Clinic/Center based in Bryn Mawr, PA and is specialized in Rehabilitation, Substance Use Disorder. Main Line Affiliates practices in Radnor, PA. The NPI Number for Main Line Affiliates is 1083777239 and holds a License No. (Pennsylvania).
The current practice location address for Main Line Affiliates is 1 Radnor Corporate Ctr, Radnor, PA and can be reached out via phone at 610-254-1450.
Location: 1 Radnor Corporate Ctr, Radnor, PA, 19010-3850
Provider Profile Details
NPI Number
1083777239
Provider Name
Main Line Affiliates
Credential
Provider Entity Type
Organization
Address
1 Radnor Corporate Ctr, Radnor, PA, 19010-3850
Phone Number
610-254-1450
Fax Number
Provider Enumeration Date
12/19/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293195 | 01 | VALUEOPTIONS - MLA | |
| 471443000 | 01 | MAGELLAN - MLA | |
| 2089835 | 01 | CIGNA - CAD EXTON | |
| 2983830 | 01 | AETNA HMO - CAD DREX HILL | |
| 2089834 | 01 | CIGNA - CAD DREXEL HILL | |
| 231200000 | 01 | MAGELLAN - CAD EXTON | |
| 280110000 | 01 | MAGELLAN - CAD DREXEL HIL | |
| 0664704000 | 01 | IBC - BMR PSYCH ASSOC | |
| 1007726370011 | 05 | PA | |
| 101825 | 01 | UNITED - CAD ADOLESCENT | |
| 2317419000 | 01 | IBC - MLA | |
| 101823 | 01 | UNITED - CAD - ADULT PHP | |
| 101824 | 01 | UNITED - CAD ADULT IOP | |
| 2983910 | 01 | AETNA HMO - CAD EXTON | |
| 0470009 | 01 | AETNA HMO - BMR PSYCH | |
| 7985197 | 01 | AETNA PPO - MLA |
Provider Business Practice Location Address Details
Address
1 Radnor Corporate Ctr
City
State
Zip
19087-4515
Phone Number
610-254-1450
Fax Number
Provider Business Mailing Address Details
Address
1 Radnor Corporate Ctr
City
State
Zip
19087-4515
Phone Number
610-254-1450
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
237078 (Pennsylvania)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
()
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Rehabilitation
Taxonomy
License No.
()
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
License No.
()
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 10
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
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