Interamerican Behavioral Health Services, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

138160 Issued in PA

Legal business name

INTERAMERICAN BEHAVIORAL HEALTH SERVICES, INC.

Practice address

511 W Courtland St
Philadelphia, PA 19140-1404

Phone

(215) 356-7586

Fax

(215) 425-6852

NPI assigned

Jul 3, 2012

Last updated

Jul 3, 2012By 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

Mr. Frederick Ramirez, MSW

Title

President,Ceo

Phone

(215) 356-7586

Specialties & licenses 1

Addresses

Other names 1

• InterAmerican Health Other name

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1356605455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W ANNSBURY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401539",
            "telephone_number": "215-356-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W COURTLAND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401404",
            "telephone_number": "215-356-7586",
            "fax_number": "215-425-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERAMERICAN BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT,CEO",
        "authorized_official_telephone_number": "215-356-7586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "138160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterAmerican Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.