Provider Demographics
NPI:1366613622
Name:DELCO PSYCHIATRIC ASSOCIATES, LLC
Entity type:Organization
Organization Name:DELCO PSYCHIATRIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ULHAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-524-1552
Mailing Address - Street 1:PO BOX 1750
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-0716
Mailing Address - Country:US
Mailing Address - Phone:610-524-1552
Mailing Address - Fax:
Practice Address - Street 1:2173 MACDADE BLVD
Practice Address - Street 2:SUITES K & L
Practice Address - City:HOLMES
Practice Address - State:PA
Practice Address - Zip Code:19043-1217
Practice Address - Country:US
Practice Address - Phone:610-254-1552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
416989OtherMANAGED HEALTH NETWORK
PA102137231 0001Medicaid
3512831000OtherINDEPENDENCE BLUE CROSS
9856139OtherAETNA
2022156OtherHIGHMARK BLUE SHIELD
600494588OtherMAGELLAN
3512831000OtherINDEPENDENCE BLUE CROSS
600494588OtherMAGELLAN