UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY NPI 1508986076

NPI Information

  • NPI: 1508986076
  • Provider Name: UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 102 E MERMAID LN
    PHILADELPHIA, PA
    ZIP 19118
  • Phone: (215) 242-4200

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NPI Details

UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY is a voluntary or charitable in Philadelphia, PA. UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY NPI is 1508986076. The provider is registered as an organization entity type.

The provider's business location address is:

102 E MERMAID LN
PHILADELPHIA, PA
ZIP 19118-507
Phone: (215) 242-4200
Fax: (215) 247-4229

The provider's authorized official is Willis A. Dibble .
The authorized official title is Executive Director and has the following contact phone number (215) 248-7602.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251V00000XVoluntary or Charitable171040PENNSYLVANIAYes
2251S00000XCommunity/Behavioral Health139930PENNSYLVANIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000015100012MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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