Main Line Affiliates
Main Line Affiliates is a healthcare organization registered as Psychiatry Physician in Radnor, PA, holding Type 2 (organization) NPI 1083777239 since 2006. The authorized official on file is Michael Buongiorno, Exec. Vp & Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083777239 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Main Line Affiliates |
| Other name | <Unavail> |
| Practice address | 1 RADNOR CORPORATE CTR, SUITE 400, Radnor, PA, 19087 |
| Phone | 6102541450 |
| Enumeration date | 2006-12-19 |
| Last updated in NPPES | 2016-05-18 |
Authorized official
| Name | Michael Buongiorno |
|---|---|
| Title | Exec. Vp & Cfo |
| Phone | 4843378481 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | Secondary | — | — |
| 103T00000X | Psychologist | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 237078 | PA |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Secondary | 151081 | PA |
| 103TC0700X | Clinical Psychologist | Secondary | — | — |
| 103TR0400X | Rehabilitation Psychologist | Secondary | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Secondary | — | — |
| 2084P0802X | Addiction Psychiatry Physician | Secondary | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | Secondary | — | — |
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Other identifiers
| 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 | PA | — |
| 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 |
Copy-ready billing details
Provider: Main Line Affiliates NPI: 1083777239 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 1 RADNOR CORPORATE CTR, SUITE 400, Radnor, PA, 19087
Verify this record
Cross-check NPI 1083777239 against the authoritative CMS record: view Main Line Affiliates on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Main Line Affiliates located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-05-18.