Active NPI
Behavioral Wellness for Women
- Adult Mental Health Clinic/Center
- Philadelphia, PA
National Provider Identifier
1093416091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BEHAVIORAL WELLNESS FOR WOMEN
- Practice address
- 1315 Windrim Ave
Philadelphia, PA 19141-2710 - Phone
- (610) 551-0550
- NPI assigned
- Mar 15, 2023
- Last updated
- Mar 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brianna Capri Dawson, CRNP
- Title
- Owner
- Phone
- (610) 551-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
1315 Windrim Ave
Philadelphia, PA 19141-2710
Mailing address
45 E City Ave # 1595
Bala Cynwyd, PA 19004-2421
Phone (610) 551-0550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1093416091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 E CITY AVE # 1595",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190042421",
"telephone_number": "610-551-0550",
"fax_number": "844-640-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 WINDRIM AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191412710",
"telephone_number": "610-551-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL WELLNESS FOR WOMEN",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "DAWSON",
"authorized_official_first_name": "BRIANNA",
"authorized_official_middle_name": "CAPRI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-551-0550",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.