Organization Active NPI

Assessment & Treatment Alternatives

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1144377698
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
102810 Issued in PA
Legal business name
ASSESSMENT & TREATMENT ALTERNATIVES
Practice address
1235 Vine St
Philadelphia, PA 19107-1111
Phone
(215) 405-2100
Fax
(215) 405-2108
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Dr. William Russell, PH.D
Title
President
Phone
(215) 405-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 102810 PA Primary

Addresses

Primary practice location

1235 Vine St
Philadelphia, PA 19107-1111

Mailing address

1235 Vine St
Philadelphia, PA 19107-1111
Phone (215) 405-2100

Other identifiers 1

IdentifierTypeStateIssuer
100777348MedicaidPA

National Provider Directory

National Provider Directory

Locations

1235 Vine St
Philadelphia, PA 19107
Phone (215) 405-2100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1144377698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071111",
            "telephone_number": "215-405-2100",
            "fax_number": "215-405-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 VINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071111",
            "telephone_number": "215-405-2100",
            "fax_number": "215-405-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSESSMENT & TREATMENT ALTERNATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-405-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "102810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777348",
            "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 Mar 10, 2016; 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.