NPIMap

Organization Active NPI

Wordsworth

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1750747416
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100728361 Issued in PA
Legal business name
WORDSWORTH
Practice address
3300 Henry Ave
2ND Floor
Philadelphia, PA 19129-1121
Phone
(245) 643-5400
Fax
(267) 529-1942
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Ms. Debra Lacks
Title
President/Ceo
Phone
(215) 643-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100728361 PA Primary

Addresses

Primary practice location

3300 Henry Ave
2ND Floor
Philadelphia, PA 19129-1121

Mailing address

3300 Henry Ave
2ND Floor
Philadelphia, PA 19129-1121
Phone (215) 643-5400

Other identifiers 10

IdentifierTypeStateIssuer
1932242864OtherPACOMMUNITY BEHAVIORAL HEALTH
1801203567OtherPACOMMUNITY BEHAVIORAL HEALTH
1114060043OtherPACOMMUNITY BEHAVIORAL HEALTH
1407806433OtherPACOMMUNITY BEHAVIORAL HEALTH
1669514774OtherPACOMMUNITY BEHAVIORAL HEALTH
1477695542OtherPACOMMUNITY BEHAVIORAL HEALTH
1942342878OtherPACOMMUNITY BEHAVIORAL HEALTH
1588008643OtherPACOMMUNITY BEHAVIORAL HEALTH
1841333770OtherPACOMMUNITY BEHAVIORAL HEALTH
1295877314OtherPACOMMUNITY BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Wordsworth12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1750747416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "215-643-5400",
            "fax_number": "267-529-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "245-643-5400",
            "fax_number": "267-529-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORDSWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "LACKS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-643-5400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "100728361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1932242864",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1801203567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1114060043",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1407806433",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1669514774",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1477695542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1942342878",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1588008643",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1841333770",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "1295877314",
            "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 Jan 12, 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.