NPIMap

Organization Active NPI

Children's Service,Inc.

Doing business as Children's Service Inc. Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1205996352
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
197210 Issued in PA
Legal business name
CHILDREN'S SERVICE,INC.
Doing business as
Children's Service Inc. Behavioral Health Clinic
Practice address
1315 Walnut St
Suite 200
Philadelphia, PA 19107-4719
Phone
(215) 546-3503
Fax
(215) 546-1633
NPI assigned
Dec 11, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mrs. Dorothy P Simmons, LSW,ACSW
Title
Executive Director
Phone
(215) 546-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 197210 PA Primary

Addresses

Primary practice location

1315 Walnut St
Suite 200
Philadelphia, PA 19107-4719

Mailing address

1315 Walnut St
Suite 200
Philadelphia, PA 19107-4719
Phone (215) 546-3503

Other identifiers 1

IdentifierTypeStateIssuer
1007550000001MedicaidPA

Other names 1

  • Children's Service Inc. Behavioral Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1315 Walnut St
Ste 200
Philadelphia, PA 19107
Phone (215) 546-3503

Practitioners & affiliated clinicians

Practitioners 3

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1205996352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "215-546-3503",
            "fax_number": "215-546-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074719",
            "telephone_number": "215-546-3503",
            "fax_number": "215-546-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-546-3503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW,ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "197210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007550000001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Service Inc. Behavioral Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2007; 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.