Organization Active NPI

Carousel Connections LLC

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1083185045
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CAROUSEL CONNECTIONS LLC
Practice address
313 S 12TH St
Philadelphia, PA 19107-5935
Phone
(215) 948-2527
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Christopher McCann
Title
Director
Phone
(215) 948-2527

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Music TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225A00000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

313 S 12TH St
Philadelphia, PA 19107-5935

Mailing address

313 S 12TH St
Philadelphia, PA 19107-5935
Phone (215) 948-2527

Other identifiers 1

IdentifierTypeStateIssuer
102646004MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1083185045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075935",
            "telephone_number": "215-948-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075935",
            "telephone_number": "215-948-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROUSEL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-948-2527"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102646004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 26, 2020; 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.