NPIMap

Organization Active NPI

The Behavioral Wellness Center at Girard

Doing business as Extended Psych

  • Psychiatric Hospital Unit
  • Philadelphia, PA
National Provider Identifier
1780895318
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Doing business as
Extended Psych
Practice address
801 W Girard Ave
Philadelphia, PA 19122-4212
Phone
(215) 787-2000
NPI assigned
May 25, 2007
Organization subpart
Yes
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mr. Xavier Bancroft
Title
President & Ceo
Phone
(215) 787-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

801 W Girard Ave
Philadelphia, PA 19122-4212

Mailing address

801 W Girard Ave
Attn Busines Office
Philadelphia, PA 19122-4212
Phone (215) 787-2000

Other identifiers 1

IdentifierTypeStateIssuer
100727696-0072MedicaidPA

Other names 1

  • Extended Psych Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bewellctr.org/

National Provider Directory

National Provider Directory
Tax ID family
North Phila Addiction M17 organizations share this tax ID, including this one
Part of
North Phila Addiction M

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1780895318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "address_2": "ATTN BUSINES OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-787-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100727696-0072",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bewellctr.org/",
            "affiliation": "N",
            "address_1": "801 W Girard Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191224212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Extended Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 1, 2025; 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.