Organization Active NPI

Juvenile Jusice Center of Philadelphia

Doing business as JJC Family Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1073939393
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
192800 Issued in PA
Legal business name
JUVENILE JUSICE CENTER OF PHILADELPHIA
Doing business as
JJC Family Services
Practice address
2821 Island Ave
Philadelphia, PA 19153-2300
Phone
(215) 365-3772
Fax
(215) 365-3777
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Mrs. Bhagya Lawrence
Title
Billing Manager
Phone
(215) 849-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 192800 PA Primary

Addresses

Primary practice location

2821 Island Ave
Philadelphia, PA 19153-2300

Mailing address

100 W Coulter St
Philadelphia, PA 19144-3402
Phone (215) 849-2112

Other names 1

  • JJC Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JJC Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1073939393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W COULTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443402",
            "telephone_number": "215-849-2112",
            "fax_number": "215-849-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "215-365-3772",
            "fax_number": "215-365-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUVENILE JUSICE CENTER OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BHAGYA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-849-2112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "192800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJC Family Services",
            "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 Mar 11, 2014; 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.