Cosmological LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

COSMOLOGICAL LLC

Practice address

5746 N 19TH St
Philadelphia, PA 19141-1204

Phone

(215) 771-1819

Fax

(215) 277-7227

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Clyde Sanders

Title

Owner

Phone

(215) 771-1819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1639622681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 N 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411204",
            "telephone_number": "215-771-1819",
            "fax_number": "215-277-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5746 N 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411204",
            "telephone_number": "215-771-1819",
            "fax_number": "215-277-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-771-1819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Marie Cosgrove, LMFT
• Donna Garber Cosgrove, M.D.
• Douglas S Cosgrove, MD
• Harry B Coslett, MD
• Cosmetic and Family Dentistry
• Cosset LLC
• Mary Theresa Cossolini
• Rafaela Cristina Costa Carlos
• Alura Costa
• Dana Costa

• Emotionally Disturbed Childrens' Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.