Transion Stage Three

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

TRANSION STAGE THREE

Practice address

5602 Harley Dr Apt 2C
Philadelphia, PA 19143-6264

Phone

(215) 833-2999

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Nyesha Smith

Title

Mental Health Worker

Phone

(215) 833-2999

Specialties & licenses 1

Addresses

Other names 1

• mental heath Other name

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1578715959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 HARLEY DR APT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191436264",
            "telephone_number": "215-833-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 HARLEY DR APT 2C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191436264",
            "telephone_number": "215-833-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSION STAGE THREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NYESHA",
        "authorized_official_title_or_position": "MENTAL HEALTH WORKER",
        "authorized_official_telephone_number": "215-833-2999"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mental heath",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.