Active NPI
The Center for Autism
- Mental Health Counselor
- Philadelphia, PA
National Provider Identifier
1174129563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE CENTER FOR AUTISM
- Practice address
- 3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824 - Phone
- (215) 878-3400
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 10, 2020
- 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
- Nicholas Bongard
- Title
- Training Specialist
- Phone
- (215) 220-2132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824
Mailing address
3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824
Other practice location 1
2801 Grant Ave
Philadelphia, PA 19114-1032
Phone (215) 878-3400
National Provider Directory
National Provider Directory- Tax ID family
- The Center for Autism
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1003808106
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1659189637
Locations
2801 Grant Ave
Philadelphia, PA 19114
Phone (215) 220-2165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607558400000",
"number": "1174129563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 FORD RD STE 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 FORD RD STE 6",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312824",
"telephone_number": "215-878-3400"
}
],
"practiceLocations": [
{
"address_1": "2801 Grant Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191141032",
"country_code": "US",
"telephone_number": "215-878-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE CENTER FOR AUTISM",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-11-23",
"status": "A",
"authorized_official_last_name": "BONGARD",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "TRAINING SPECIALIST",
"authorized_official_telephone_number": "215-220-2132"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- The Birthing Nest Inc, (Tri-State Doulas)
- The Black Brain Campaign
- The Blended Journey
- The Cardiology Group, P.a.
- The Center for Autism
- The Center for Autism
- The Children Hospital of Philadelphia
- The Children's Hospital of Philadelphia
- The Children's Hospital of Philadelphia (Care Network Karabots)
- The Children's Hospital of Philadelphia (Cobbs Creek Family Planning)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.