NPIMap

Organization Active NPI

Chop Behavioral Health

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1457781809
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PA SW124830 Issued in PA
Legal business name
CHOP BEHAVIORAL HEALTH
Practice address
7700 Germantown Avenue
Philadelphia, PA 19118
Phone
(215) 247-1172
NPI assigned
Nov 21, 2013
Organization subpart
Yes
Parent organization
CHOP CLINICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Lance Castle
Title
Director, Billing
Phone
(215) 590-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X PA SW124830 PA Primary

Addresses

Primary practice location

7700 Germantown Avenue
Philadelphia, PA 19118

Mailing address

7700 Germantown Avenue
Philadelphia, PA 19118
Phone (215) 247-1172

Other names 1

  • CHOP Clinical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Psychiatry Prac Assocs3 organizations share this tax ID, including this one
Part of
Psychiatry Prac Assocs

Other organizations with this tax ID 2

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": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1457781809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 GERMANTOWN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-247-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 GERMANTOWN AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19118",
            "telephone_number": "215-247-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOP BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOP CLINICAL ASSOCIATES",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "DIRECTOR, BILLING",
        "authorized_official_telephone_number": "215-590-5317"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "PA SW124830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOP Clinical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 21, 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.