Organization Active NPI

Supportive Behavioral Resources, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1194940502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORTIVE BEHAVIORAL RESOURCES, INC.
Practice address
7901 Bustleton Avenue
Suite 301
Philadelphia, PA 19152-3330
Phone
(215) 333-2280
Fax
(215) 333-2278
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Francesco Joseph Tieri, M.ED.
Title
Executive Director
Phone
(215) 333-2280

Specialties & licenses 1

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

Addresses

Primary practice location

7901 Bustleton Avenue
Suite 301
Philadelphia, PA 19152-3330

Mailing address

7901 Bustleton Avenue
Suite 301
Philadelphia, PA 19152-3330
Phone (215) 333-2280

National Provider Directory

National Provider Directory

Locations

7901 Bustleton Ave
Ste 301
Philadelphia, PA 19152
Phone (215) 333-2280

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194940502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BUSTLETON AVENUE",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523330",
            "telephone_number": "215-333-2280",
            "fax_number": "215-333-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BUSTLETON AVENUE",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523330",
            "telephone_number": "215-333-2280",
            "fax_number": "215-333-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE BEHAVIORAL RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIERI",
        "authorized_official_first_name": "FRANCESCO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-333-2280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Aug 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.

Verify at the official NPI Registry.