NPIMap

Organization Active NPI

Forensic Family Therapy Treatment Program

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1336289800
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FORENSIC FAMILY THERAPY TREATMENT PROGRAM
Practice address
1200 Callowhill St
Suite 104
Philadelphia, PA 19123-3604
Phone
(215) 413-0141
Fax
(215) 413-0144
NPI assigned
Feb 7, 2007
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Richard J Cohen, PHD
Title
President
Phone
(215) 985-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1200 Callowhill St
Suite 104
Philadelphia, PA 19123-3604

Mailing address

260 S Broad Street
18TH Floor
Philadelphia, PA 19102
Phone (215) 985-2500

National Provider Directory

National Provider Directory
Tax ID family
PHMC Care Clinic40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

1200 Callowhill St
Ste 104
Philadelphia, PA 19123
Phone (215) 413-0141

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1336289800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S BROAD STREET",
            "address_2": "18TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-985-2500",
            "fax_number": "215-731-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CALLOWHILL ST",
            "address_2": "SUITE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233604",
            "telephone_number": "215-413-0141",
            "fax_number": "215-413-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC FAMILY THERAPY TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-985-2501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2008; 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.