Overbrook Friedlander Programs

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

15161100 Issued in PA

Legal business name

OVERBROOK FRIEDLANDER PROGRAMS

Practice address

1900 Wynnewood Rd
Philadelphia, PA 19151-2535

Phone

(215) 877-0006

Fax

(215) 877-5039

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Michele C Rhodes

Title

Program Administrator

Phone

(215) 877-0017

Specialties & licenses 1

Addresses

Tax ID family

Overbrook Friedlander Programs2 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.

• Overbrook Friedlander Programs

  • Intellectual Disabilities Intermediate Care Facility
  • Philadelphia, PA
  • NPI 1114141769
  NPD tax ID

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1093906372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WYNNEWOOD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512535",
            "telephone_number": "215-877-0006",
            "fax_number": "215-877-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WYNNEWOOD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512535",
            "telephone_number": "215-877-0006",
            "fax_number": "215-877-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERBROOK FRIEDLANDER PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "215-877-0017",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "15161100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Ouzounian, MD
• Charyl Ovalle, M.D.
• Massiel N Ovalles Perdomo
• Ryan Overberger, DO
• Overbrook Farms Dental Group
• Overbrook Friedlander Programs
• Overbrook Plaza Pharmacy
• Overbrook School for the Blind
• Overbrook School for the Blind
• Kim Jean Overby, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.