Tree of Life Professional Behavorial Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

132210 Issued in PA

Legal business name

TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES

Practice address

7048 Castor Ave
Philadelphia, PA 19149-1713

Phone

(215) 533-5433

Fax

(215) 533-5432

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ada L Tuleja, MSW

Title

Ceo

Phone

(215) 533-5433

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tree of Life Behavioral Services Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel R Carr, D.O., M.P.H.

  • Psychiatry Physician
  • Moorestown, NJ
  • NPI 1275586489
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1639299167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491713",
            "telephone_number": "215-533-5433",
            "fax_number": "215-533-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 CASTOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491713",
            "telephone_number": "215-533-5433",
            "fax_number": "215-533-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "TULEJA",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-533-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "132210",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "132210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022413650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Behavioral Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Anthony Treat
• Mira Isaac Treatman, LAPC
• Treatment and Recovery Partnership
• Treats Unlimited Enterprises
• Erin Tredinnick, CRNP
• Melissa Trego, OD
• Shaquoya Shawntal Trego, B.A. PSYCHOLOGY
• Gaurav Trehan, MD
• Janelle Trejo-Gonzalez
• Stephanie Trembulak, APRN,FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.