Totalis Behavioral Health Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TOTALIS BEHAVIORAL HEALTH INC

Practice address

636 Carpenter St
Philadelphia, PA 19147-2908

Phone

(717) 512-4632

NPI assigned

Mar 14, 2025

Last updated

Mar 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren FrederickNPI 1487026639

Title

Senior Clinical Director

Phone

(717) 512-4632

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Lauren Frederick, BCBS

  • Behavior Analyst
  • Haddonfield, NJ
  • NPI 1487026639
  NPD Authorized official

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1285434886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 88TH ST APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CARPENTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472908",
            "telephone_number": "717-512-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALIS BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "SENIOR CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "717-512-4632"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Philadelphia, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.