Active NPI
North Philadelphia Health System
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1194726323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NORTH PHILADELPHIA HEALTH SYSTEM
- Practice address
- 801 W Girard Ave
Philadelphia, PA 19122-4212 - Phone
- (215) 787-2000
- Fax
- (215) 787-6990
- NPI assigned
- Aug 10, 2005
- Organization subpart
- Yes
- Parent organization
- NORTH PHILADELPHIA HEALTH SYSTEM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gerri Walker
- Title
- Ceo
- Phone
- (215) 787-9001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
801 W Girard Ave
Philadelphia, PA 19122-4212
Mailing address
801 W Girard Ave
Philadelphia, PA 19122-4212
Phone (215) 787-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100727696 | Medicaid | PA |
Other names 1
- NPHS - Psychiatry Group
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://bewellctr.org/ |
National Provider Directory
National Provider Directory- Part of
- North Phila Addiction M
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582329600000",
"number": "1194726323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191224212",
"telephone_number": "215-787-2000",
"fax_number": "215-787-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W GIRARD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191224212",
"telephone_number": "215-787-2000",
"fax_number": "215-787-6990"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PHILADELPHIA HEALTH SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH PHILADELPHIA HEALTH SYSTEM",
"enumeration_date": "2005-08-10",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "GERRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-787-9001",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100727696",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://bewellctr.org/",
"affiliation": "N",
"address_1": "801 W Girard Ave",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191224212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NPHS - Psychiatry Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "NPHS - Psychiatry Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Philadelphia, PA
- North East Fitness Chiropractic
- North Friends Senior Care Inc
- North Philadelphia Family Practice
- North Philadelphia Health System
- North Philadelphia Health System
- North Philadelphia Health System
- North Philadelphia Health System
- North Philadelphia Health System
- North Philadelphia Rehabilitation Center, Inc.
- North Point Caregivers LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.