NPIMap

Organization Active NPI

The Behavioral Wellness Center at Girard

Doing business as RTFA Dual Dx

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1053511329
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
100920 Issued in PA
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Doing business as
RTFA Dual Dx
Practice address
801 W Girard Ave
Philadelphia, PA 19122
Phone
(215) 787-2387
NPI assigned
Jul 24, 2007
Last updated
Aug 1, 2025By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X 100920 PA Primary

Addresses

Primary practice location

801 W Girard Ave
Philadelphia, PA 19122

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007276960113MedicaidPA

Other names 1

  • RTFA Dual Dx Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bewellctr.org/

National Provider Directory

National Provider Directory
Tax ID family
The Behavioral Wellness17 organizations share this tax ID, including this one
Part of
The Behavioral Wellness

Other organizations with this tax ID 16

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

View all 16

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": "1053511329",
    "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": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19122",
            "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "100920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007276960113",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bewellctr.org/",
            "affiliation": "N",
            "address_1": "801 W Girard Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "19122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RTFA Dual Dx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.