NPIMap

Organization Active NPI

United Cerebral Palsy Association of Philadelphia & Vicinity

  • Voluntary or Charitable Agency
  • Philadelphia, PA
National Provider Identifier
1508986076
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
171040 Issued in PA
Legal business name
UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY
Practice address
102 E Mermaid LN
Philadelphia, PA 19118-3507
Phone
(215) 242-4200
Fax
(215) 247-4229
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Willis A. Dibble, M.A.
Title
Executive Director
Phone
(215) 248-7602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 139930 PA
Voluntary or Charitable Agency 251V00000X 171040 PA Primary

Addresses

Primary practice location

102 E Mermaid LN
Philadelphia, PA 19118-3507

Mailing address

102 E Mermaid LN
Philadelphia, PA 19118-3507
Phone (215) 242-4200

Other identifiers 1

IdentifierTypeStateIssuer
1000015100012MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Ucp of Philadelphia3 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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508986076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E MERMAID LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183507",
            "telephone_number": "215-242-4200",
            "fax_number": "215-247-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E MERMAID LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183507",
            "telephone_number": "215-242-4200",
            "fax_number": "215-247-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DIBBLE",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-248-7602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "139930",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "PA",
            "license": "171040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015100012",
            "state": "PA"
        }
    ],
    "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 Sep 11, 2025; 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.