NPIMap

Organization Active NPI

Children's Crisis Treatment Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1326109836
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
121850 Issued in PA
Legal business name
CHILDREN'S CRISIS TREATMENT CENTER
Practice address
1080 N Delaware Ave
Suite 600
Philadelphia, PA 19125-4330
Phone
(215) 496-0707
Fax
(215) 496-0742
NPI assigned
Dec 12, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Antonio Valdes
Title
Executive Director
Phone
(215) 496-0707

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 139510 PA
Community/Behavioral Health Agency 251S00000X 121850 PA Primary

Addresses

Primary practice location

1080 N Delaware Ave
Suite 600
Philadelphia, PA 19125-4330

Mailing address

1080 N Delaware Ave
Suite 600
Philadelphia, PA 19125-4330
Phone (215) 496-0707

Other identifiers 1

IdentifierTypeStateIssuer
100761197MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Children's Crisis Treatment Center6 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

1080 N Delaware Ave
Ste 600
Philadelphia, PA 19125
Phone (215) 496-0707

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1326109836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE",
            "address_2": "SUITE 600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254330",
            "telephone_number": "215-496-0707",
            "fax_number": "215-496-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE",
            "address_2": "SUITE 600",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254330",
            "telephone_number": "215-496-0707",
            "fax_number": "215-496-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CRISIS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-496-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "139510",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "121850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761197",
            "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 Mar 18, 2015; 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.