NPIMap

Organization Active NPI

Child Guidance Resource Centers

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1265872907
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
112610 Issued in PA
Legal business name
CHILD GUIDANCE RESOURCE CENTERS
Practice address
2901 Island Ave
Philadelphia, PA 19153-3013
Phone
(484) 454-8735
NPI assigned
Jun 26, 2013
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Mr. Todd Jarger, CPA
Title
Director Pi
Phone
(484) 454-8735

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 112610 PA
Community/Behavioral Health Agency 251S00000X 112610 PA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 184890 PA

Addresses

Primary practice location

2901 Island Ave
Philadelphia, PA 19153-3013

Mailing address

2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone (484) 454-8700

Other identifiers 2

IdentifierTypeStateIssuer
100005940MedicaidPA
112610MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Resource Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1265872907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "484-454-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533013",
            "telephone_number": "484-454-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE RESOURCE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "JARGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR PI",
        "authorized_official_telephone_number": "484-454-8735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "112610",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "112610",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "184890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100005940",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112610",
            "state": "PA"
        }
    ],
    "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 Jan 14, 2016; 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.