NPIMap

Organization Active NPI

The Behavioral Wellness Center at Girard

  • Clinic/Center
  • Phila, PA
National Provider Identifier
1023218302
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Practice address
801 W Girard Ave
Phila, PA 19122-4212
Phone
(215) 787-2387
NPI assigned
Jul 24, 2007
Organization subpart
Yes
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Xavier Bancroft
Title
President & Ceo
Phone
(215) 787-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

801 W Girard Ave
Phila, PA 19122-4212

Mailing address

801 W Girard Ave
Attn Business Office
Philadelphia, PA 19122-4212
Phone (215) 787-2387

Other identifiers 2

IdentifierTypeStateIssuer
1007276960016MedicaidPA
1007276960112MedicaidPA

Other names 1

  • CAP Clinic CAP IOP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bewellctr.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610002924 PA Part B Supplier - Clinic/Group Practice 9032021936 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North Phila Addiction M17 organizations share this tax ID, including this one
Part of
North Phila Addiction M

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1023218302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "address_2": "ATTN BUSINESS OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-787-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007276960016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007276960112",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bewellctr.org/",
            "affiliation": "N",
            "address_1": "801 W Girard Ave",
            "city": "Phila",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191224212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CAP Clinic CAP IOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.