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PHILADELPHIA MENTAL HEALTH CLINIC NPI 1780746917


NPI Information

NPI: 1780746917
Provider Name: PHILADELPHIA MENTAL HEALTH CLINIC

Doing Business As: DELAWARE VALLEY CHILDREN'S CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1235 PINE STREET
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 598-0223
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PHILADELPHIA MENTAL HEALTH CLINIC is a clinic center in Philadelphia, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PHILADELPHIA MENTAL HEALTH CLINIC NPI is 1780746917. The provider is registered as an organization entity type.
The provider Is Doing Business As Delaware Valley Children's Center.

The provider's business location address is:

1235 PINE STREET
PHILADELPHIA, PA
ZIP 19107-945
Phone: (215) 598-0223
Fax: (215) 598-9020

The provider's authorized official is Jason Carroll .
The authorized official title is Business Manager and has the following contact phone number (215) 735-9379.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 9/10/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center123880PENNSYLVANIANo
2261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10056455000OTHERPENNSYLVANIABC
21007279540006MEDICAIDPENNSYLVANIA
3000138598OTHERPENNSYLVANIABCBS
4265050000OTHERPENNSYLVANIAMAGELLAN BEHAVIORAL HEALT
5138598MEDICARE PINPENNSYLVANIA

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: 11/14/2023

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