Main Line Affiliates is a Counselor Clinic in Radnor, Pennsylvania. It is located at 1 Radnor Corporate Ctr, Suite 400, Radnor, PA and its contact number is 610-254-1450. The authorized person for Main Line Affiliates is Mr. Michael J Buongiorno
who is Exec. Vp & Cfo of the clinic and his/her contact number is 484-337-8481.
Main Line Affiliates Clinic has individuals who are licensure in clinical psychology and has done specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology. Neuropsychology is a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Complete Clinic Profile:
Main Line Affiliates Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Main Line Affiliates |
| Specialization: | Clinical Neuropsychologist |
| Clinic Address: | 1 Radnor Corporate Ctr, Suite 400, Radnor,
Pennsylvania, 19087-4515 |
| Phone: | 610-254-1450 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Michael J Buongiorno |
| Position: | Exec. Vp & Cfo |
| Contact Number: | 484-337-8481 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Main Line Affiliates clinic are as mentioned below.
| NPI Number: | 1083777239 |
| NPI Enumeration Date: | 19 Dec, 2006 |
| NPI Last Update On: | 18 May, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Line Affiliates are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | | | Primary | |
| Clinical Neuropsychologist | | | Secondary | |
| Psychologist | | | Secondary | |
| Rehabilitation, Substance Use Disorder | 237078 | Pennsylvania | Secondary | |
| Rehabilitation, Substance Use Disorder | 151081 | Pennsylvania | Secondary | |
| Clinical | | | Secondary | |
| Rehabilitation | | | Secondary | |
| Addiction (Substance Use Disorder) | | | Secondary | |
| Addiction Psychiatry | | | Secondary | |
| Child & Adolescent Psychiatry | | | Secondary | |
| Adult Mental Health | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 293195 | Other | | Valueoptions - Mla |
| 471443000 | Other | | Magellan - Mla |
| 2089835 | Other | | Cigna - Cad Exton |
| 2983830 | Other | | Aetna Hmo - Cad Drex Hill |
| 2089834 | Other | | Cigna - Cad Drexel Hill |
| 231200000 | Other | | Magellan - Cad Exton |
| 280110000 | Other | | Magellan - Cad Drexel Hil |
| 0664704000 | Other | | Ibc - Bmr Psych Assoc |
| 1007726370011 | Medicaid | Pennsylvania | |
| 101825 | Other | | United - Cad Adolescent |
| 2317419000 | Other | | Ibc - Mla |
| 101823 | Other | | United - Cad - Adult Php |
| 101824 | Other | | United - Cad Adult Iop |
| 2983910 | Other | | Aetna Hmo - Cad Exton |
| 0470009 | Other | | Aetna Hmo - Bmr Psych |
| 7985197 | Other | | Aetna Ppo - Mla |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Main Line Affiliates
950 E Haverford Rd, Suite 110
Bryn Mawr, Pennsylvania |
| Zip: | 19010-3850 |
| Phone Number: | 610-526-8480 |
Patients can reach Main Line Affiliates at
1 Radnor Corporate Ctr, Suite 400, Radnor, Pennsylvania or can
call to book an appointment on 610-254-1450.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.