Organization Active NPI

Overbrook School for the Blind

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1366556029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
OVERBROOK SCHOOL FOR THE BLIND
Practice address
6333 Malvern Ave
Philadelphia, PA 19151-2529
Phone
(215) 877-0313
NPI assigned
Aug 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Vanbernum
Title
Business Manager & Cfo
Phone
(215) 877-0313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

6333 Malvern Ave
Philadelphia, PA 19151-2529

Mailing address

6333 Malvern Ave
Philadelphia, PA 19151-2529
Phone (215) 877-0313

Other identifiers 1

IdentifierTypeStateIssuer
1000061600003MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Overbrook School for the Blind2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366556029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 MALVERN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512529",
            "telephone_number": "215-877-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 MALVERN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512529",
            "telephone_number": "215-877-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERBROOK SCHOOL FOR THE BLIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANBERNUM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BUSINESS MANAGER & CFO",
        "authorized_official_telephone_number": "215-877-0313"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000061600003",
            "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 Aug 22, 2020; 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.