NPIMap

Organization Active NPI

Center City Pediatrics, LLC

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1407284755
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL002576L Issued in PA
Legal business name
CENTER CITY PEDIATRICS, LLC
Practice address
1740 South St
Ste 301
Philadelphia, PA 19146-1514
Phone
(215) 735-5600
Fax
(215) 735-5690
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
David Bannett, CPA
Title
Practice Administrator
Phone
(215) 735-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SL002576L PA Primary

Addresses

Primary practice location

1740 South St
Ste 301
Philadelphia, PA 19146-1514

Mailing address

1740 South St
Ste 301
Philadelphia, PA 19146-1514
Phone (215) 735-5600

Other names 1

  • CCP Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Center City Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1740 South St
Ste 301
Philadelphia, PA 19146
Phone (215) 735-5600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1407284755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST",
            "address_2": "STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461514",
            "telephone_number": "215-735-5600",
            "fax_number": "215-735-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST",
            "address_2": "STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461514",
            "telephone_number": "215-735-5600",
            "fax_number": "215-735-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BANNETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "215-735-5600",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002576L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCP Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 24, 2013; 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.