Active NPI
Transition Phase III
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
National Provider Identifier
1720288913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- TRANSITION PHASE III
- Practice address
- 3900 City Ave
Madison BLDG Suite 1207
Philadelphia, PA 19131-2908 - Phone
- (215) 878-3052
- Fax
- (215) 878-3532
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jo Benait, PSYD
- Title
- Ceo Group Administrator
- Phone
- (215) 878-3052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3900 City Ave
Madison BLDG Suite 1207
Philadelphia, PA 19131-2908
Mailing address
3900 City Avenue
Madison BLDG Suite 1207
Philadelphia, PA 19131-0000
Phone (215) 878-3052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019569460001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Philadelphia, PA
- NPI 1982836508
-
- Professional Counselor
- Glen Mills, PA
- NPI 1306150651
-
- Counselor
- Philadelphia, PA
- NPI 1245541390
-
- Clinical Social Worker
- Philadelphia, PA
- NPI 1538367339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271116800000",
"number": "1720288913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 CITY AVENUE",
"address_2": "MADISON BLDG SUITE 1207",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191310000",
"telephone_number": "215-878-3052",
"fax_number": "215-878-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 CITY AVE",
"address_2": "MADISON BLDG SUITE 1207",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312908",
"telephone_number": "215-878-3052",
"fax_number": "215-878-3532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSITION PHASE III",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2010-04-13",
"status": "A",
"authorized_official_last_name": "BENAIT",
"authorized_official_first_name": "JO",
"authorized_official_title_or_position": "CEO GROUP ADMINISTRATOR",
"authorized_official_telephone_number": "215-878-3052",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019569460001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Transcendence Support Services Limited Liability Company (Transcendence Support Services)
- Transformation Outreach Services
- Transion Stage Three
- Transit Aide, Inc
- Transition Phase III
- Transitional Care Unit at Nazareth Hospital
- Transitions Therapy LLC
- Transitions Today, Inc.
- Translating Health LLC (G-Town Acupuncture)
- Transmercy,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.