Organization Active NPI

Patricia Ventura LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1184279598
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PATRICIA VENTURA LCSW
Practice address
255 S 17TH St Ste 1601
Philadelphia, PA 19103-6216
Phone
(215) 888-7862
NPI assigned
Aug 3, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Patricia Ventura, LCSWNPI 1952731812
Title
Psychotherapist
Phone
(215) 888-7862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

255 S 17TH St Ste 1601
Philadelphia, PA 19103-6216

Mailing address

7934 Michener Ave
Philadelphia, PA 19150-1321
Phone (215) 888-7862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190919002569 PA Part B Supplier - Clinic/Group Practice 0840520706 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

255 S 17th St
Ste 1509
Philadelphia, PA 19103
Phone (215) 836-9121

255 S 17th St
Ste 1601
Philadelphia, PA 19103
Phone (215) 888-7862

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1184279598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7934 MICHENER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501321",
            "telephone_number": "215-888-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036216",
            "telephone_number": "215-888-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA VENTURA LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "215-888-7862",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.