NPIMap

Organization Active NPI

Tabor Children'S Services

  • Adolescent and Children Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1124173588
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
1000038560009 Issued in PA
Legal business name
TABOR CHILDREN'S SERVICES
Practice address
57 E Armat St
Philadelphia, PA 19144-2201
Phone
(215) 842-4800
Fax
(215) 842-4809
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Robert Edward Haussmann, PH.D.
Title
Chief Information Officer
Phone
(215) 842-4800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1000038560009 PA
Adult Mental Health Clinic/Center 261QM0850X 1000038560009 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1000038560009 PA Primary

Addresses

Primary practice location

57 E Armat St
Philadelphia, PA 19144-2201

Mailing address

601 New Britain Rd
Doylestown, PA 18901-2788
Phone (215) 842-4800

Other identifiers 1

IdentifierTypeStateIssuer
1000038560009OtherPWDPW-PROMISE

National Provider Directory

National Provider Directory
Tax ID family
Tabor Children'S Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124173588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NEW BRITAIN RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012788",
            "telephone_number": "215-842-4800",
            "fax_number": "215-348-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E ARMAT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442201",
            "telephone_number": "215-842-4800",
            "fax_number": "215-842-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAUSSMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
        "authorized_official_telephone_number": "215-842-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "1000038560009",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "1000038560009",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "1000038560009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW-PROMISE",
            "identifier": "1000038560009",
            "state": "PW"
        }
    ],
    "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 Sep 11, 2025; 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.