NPIMap

Organization Active NPI

Child Guidance Resource Centers Inc

  • Community/Behavioral Health Agency
  • Havertown, PA
National Provider Identifier
1316020910
Registry record updated Feb 7, 2017
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 INC
Practice address
2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone
(484) 454-8700
Fax
(454) 454-8706
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Ms. Amy Meadows-Martella, MFT
Title
VP, Operations
Phone
(484) 454-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 112610 PA
Community/Behavioral Health Agency 251S00000X 112610 PA Primary

Addresses

Primary practice location

2000 Old West Chester Pike
Havertown, PA 19083-2712

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.

Locations

2901 Island Ave
Philadelphia, PA 19153
Phone (267) 713-4100

4865 Market St
Philadelphia, PA 19139
Phone (267) 425-9800

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1316020910",
    "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",
            "fax_number": "454-454-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "484-454-8700",
            "fax_number": "454-454-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE RESOURCE CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MEADOWS-MARTELLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "484-454-8700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "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
        }
    ],
    "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 Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.