NPIMap

Organization Active NPI

Crozer Chester Medical Center

  • Adolescent and Children Mental Health Clinic/Center
  • Chester, PA
National Provider Identifier
1104238385
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CROZER CHESTER MEDICAL CENTER
Practice address
2600 W 9TH St
Chester, PA 19013-2040
Phone
(856) 520-4595
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Ms. Nakia Smith, B.A.
Title
Icm/Kid Intensive Case Manager
Phone
(856) 520-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2600 W 9TH St
Chester, PA 19013-2040

Mailing address

2600 W 9TH St
Chester, PA 19013-2040

National Provider Directory

National Provider Directory
Tax ID family
Crozer Chester Medical28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1104238385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "856-520-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER CHESTER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "ICM/KID INTENSIVE CASE MANAGER",
        "authorized_official_telephone_number": "856-520-4595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.