Belmont Center for Comprhensive Treatment

Key facts

NPI: 1073512331
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
License: 117160 (PA)
Legal business name: BELMONT CENTER FOR COMPRHENSIVE TREATMENT
Practice address: 4200 Monument Rd
Phila, PA 19131-1625
Phone: (215) 456-6611
Fax: (215) 457-4304
NPI assigned: Jul 19, 2005
Organization subpart: No

Authorized official

Name: Mr. Samuel Russo
Title: Corp. Director of Finance
Phone: (215) 456-6611

Corporate family (same tax ID) 3

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

Belmont Behavioral Hospital, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA · NPI 1346621448

NPD tax ID
Belmont Behavioral Hospital, LLC Community/Behavioral Health Agency · Philadelphia, PA · NPI 1578062493

NPD tax ID
Belmont Behavioral Hospital, LLC Psychiatric Hospital · Philadelphia, PA · NPI 1629468137

NPD tax ID

Practitioners 6

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

Theodore James Bunch, LPC Professional Counselor · Phila, PA · NPI 1366616443

NPD (past)
Patricia Lillian Green, MS Professional Counselor · Philadelphia, PA · NPI 1144303603

NPD (past)
Michele Marie Koschin, PSY.D Clinical Psychologist · Philadelphia, PA · NPI 1730314188

NPD (past)
Benjamin Leavy, MSW, LSW Social Worker · Philadelphia, PA · NPI 1952778821

NPD (past)
Michal Namir, LCSW Clinical Social Worker · Jenkintown, PA · NPI 1255603551

NPD (past)
George Zappalorta, LCSW Clinical Social Worker · Jacksonville, AR · NPI 1033556303

NPD (past)

National Provider Directory

Tax ID family: Belmont Behavioral Hospital (4 organizations share this tax ID)

Locations

10360 Drummond Rd
Philadelphia, PA 19154
Phone (215) 612-3204

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinic/Center	261Q00000X	117160	PA	Yes
Psychiatric Hospital	283Q00000X	117160	PA
Psychiatric Hospital	283Q00000X	121960	PA
Psychiatric Hospital	283Q00000X	177920	PA

Addresses

Primary practice location

4200 Monument Rd
Phila, PA 19131-1625

Mailing address

4200 Monument Rd
Phila, PA 19131-1625
Phone (215) 456-6611

Other identifiers

Identifier	Type	State
1007417750001	Medicaid	PA
1007417750009	Medicaid	PA
1007417750005	Medicaid	PA
1007417750013	Medicaid	PA
1007417750018	Medicaid	PA

Other providers in Phila, PA

All providers in Phila, PA · Clinic/Center in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.