Therapeutic Center at Fox Chase Aka the Bridge

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THERAPEUTIC CENTER AT FOX CHASE AKA THE BRIDGE

Practice address

1100 Adams Ave
Philadelphia, PA 19124-3101

Phone

(215) 731-2042

Fax

(267) 765-2380

NPI assigned

Feb 8, 2007

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shante Pennington

Title

Billing Coordinator

Phone

(215) 731-2042

Specialties & licenses 1

Addresses

Tax ID family

Therapeutic Center at Fox Chase Aka the Bridge2 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.

• Therapuetic Center at Fox Chase Aka the Bridge

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1598801656
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J Evan Miller, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1447858568
  NPD (past)
• Hilary Sees, LPC

  • Professional Counselor
  • Elkins Park, PA
  • NPI 1225636335
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1477693216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243101",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243101",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CENTER AT FOX CHASE AKA THE BRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-731-2042"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Theodoropoulos, MD
• Georges Theodule, PMHNP-BC
• Thana Theofanis, M.D.
• Therapendence at-Home Rehab LLC
• Therapeutic Alliances LLC
• Therapeutic Precision LLC
• Therapeutic Waters LLC
• Theraphysical Care of Pennsylvania, LLC (Outreach PhysicalTherapy and Rehabilitation)
• Therapist Tiff LLC
• Therapists on Demand, Inc

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.