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Active NPI 1508247040 Organization (Entity Type 2)

Emily Program Pc

Clinic/Center - Adult Mental Health • Warrendale, PA

About Emily Program Pc NPI 1508247040 Summary

Emily Program Pc is a verified healthcare organization specializing in Clinic/Center - Adult Mental Health operating in Warrendale, PA. Located at 50 PENNWOOD PL, this facility provides patient care and medical services under National Provider Identifier (NPI) 1508247040.

Administrative operations and authorized compliance are overseen by Meredith Trudgeon (Credentialing Manager).

In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

50 Pennwood Pl

Warrendale, PA 15086

Telephone 8883645977

Authorized Official Information

Authorized Contact Name

Meredith Trudgeon

Title / Role

Credentialing Manager

Official Telephone

9197670274

Facility Classifications & Specialties

Clinic/Center - Adult Mental Health Primary Taxonomy

NUCC Taxonomy Code: 261QM0850X

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Clinic/Center - Multi-Specialty

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

4001 Stonewood Dr Ste 200

Wexford, PA 150908398

Phone: 8666364597

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

11 Historical Events

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Updated Practice Location August 04, 2025

Registered at 50 PENNWOOD PL, WARRENDALE, PA 15086 (Tel: 8883645977)

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Organization / Clinic Name Updated August 04, 2025

Operating as EMILY PROGRAM PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Clinic/Center

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Updated Business Mailing Address October 19, 2022

Registered at 1295 BANDANA BLVD. W.,, SUITE 210, ST. PAUL, MN 551085338 (Tel: 8663645977)

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Updated Practice Location January 22, 2021

Registered at 4001 STONEWOOD DR STE 200, WEXFORD, PA 150908398 (Tel: 8883645977)

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NPI Profile Active June 10, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2015

Registered at 2009 MACKENZIE WAY, SUITE 100, CRANBERRY TOWNSHIP, PA 160665338 (Tel: 6516455323)

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Updated Business Mailing Address June 10, 2015

Registered at 2009 MACKENZIE WAY, SUITE 100, CRANBERRY TOWNSHIP, PA 160665338 (Tel: 6516455323)

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Organization / Clinic Name Updated June 10, 2015

Operating as THE EMILY PROGRAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2015

Clinic/Center

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Initial NPI Registration & Enumeration June 10, 2015

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1508247040

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 10, 2015

Last Update: August 04, 2025

Update or Correct Listing

Mailing Address

1295 Bandana Blvd. W.,, Suite 210

St. Paul, MN 551085338

Phone: 8663645977

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.