NPIMap

Organization Active NPI

Slade Roff Talk Wellness

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1417637661
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SLADE ROFF TALK WELLNESS
Practice address
200 Locust St Apt 25H
Philadelphia, PA 19106-0118
Phone
(215) 515-6695
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Slade Magenta Roff, LCSWNPI 1972196277
Title
Owner
Phone
(215) 515-6695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

200 Locust St Apt 25H
Philadelphia, PA 19106-0118

Mailing address

200 Locust St Apt 25H
Philadelphia, PA 19106-0118
Phone (215) 515-6695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1417637661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOCUST ST APT 25H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060118",
            "telephone_number": "215-515-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOCUST ST APT 25H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191060118",
            "telephone_number": "215-515-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLADE ROFF TALK WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "ROFF",
        "authorized_official_first_name": "SLADE",
        "authorized_official_middle_name": "MAGENTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-515-6695",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental 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 Jul 21, 2023; 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.