NPIMap

Organization Active NPI

Jewish Family & Childrens Service

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1629258157
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1041C0700X Issued in PA
Legal business name
JEWISH FAMILY & CHILDRENS SERVICE
Practice address
3801 Conshohocken Ave Ste 123
Philadelphia, PA 19131-5536
Phone
(215) 878-2336
Fax
(215) 878-2379
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Mrs. Susan Wyland
Title
Chief Financial Officer
Phone
(215) 496-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1041C0700X PA Primary

Addresses

Primary practice location

3801 Conshohocken Ave Ste 123
Philadelphia, PA 19131-5536

Mailing address

2100 Arch St FL 5
Philadelphia, PA 19103-1300
Phone (215) 496-9700

Other identifiers 3

IdentifierTypeStateIssuer
1000008810009MedicaidPA
1000008810019OtherPADPW PDA WAIVER
1000008810025OtherPADEPT OF PUBLIC WELFARE

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family and Children'S Service6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Arch St
Fl 5
Philadelphia, PA 19103
Phone (215) 496-9700

Practitioners & affiliated clinicians

Practitioners 4

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": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1629258157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ARCH ST FL 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031300",
            "telephone_number": "215-496-9700",
            "fax_number": "215-496-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CONSHOHOCKEN AVE STE 123",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315536",
            "telephone_number": "215-878-2336",
            "fax_number": "215-878-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY & CHILDRENS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "WYLAND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-496-9700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000008810009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPW PDA WAIVER",
            "identifier": "1000008810019",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PUBLIC WELFARE",
            "identifier": "1000008810025",
            "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 Nov 13, 2007; 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.