Active NPI
Laurel & Palm Health Center
- Community/Behavioral Health Agency
- Philadelphia, PA
National Provider Identifier
1396112181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LAUREL & PALM HEALTH CENTER
- Practice address
- 120 W Wyoming Ave
Philadelphia, PA 19140-1629 - Phone
- (215) 605-6510
- NPI assigned
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brendan Michael Duffey
- Title
- Ceo
- Phone
- (215) 605-6510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
120 W Wyoming Ave
Philadelphia, PA 19140-1629
Mailing address
120 W Wyoming Ave
Philadelphia, PA 19140-1629
Phone (215) 605-6510
National Provider Directory
National Provider DirectoryLocations
120 W Wyoming Ave
Philadelphia, PA 19140
Phone (267) 297-5614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440633600000",
"number": "1396112181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401629",
"telephone_number": "215-605-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191401629",
"telephone_number": "215-605-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL & PALM HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2015-08-27",
"status": "A",
"authorized_official_last_name": "DUFFEY",
"authorized_official_first_name": "BRENDAN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-605-6510",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"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 Aug 27, 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.