Organization Active NPI

Green Tree School

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1811010093
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
121810 Issued in PA
Legal business name
GREEN TREE SCHOOL
Practice address
146 W Walnut LN
Philadelphia, PA 19144-2612
Phone
(215) 843-4528
Fax
(215) 843-2688
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Herman Axelrod, PHD
Title
Executive Director
Phone
(215) 843-4528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 121810 PA Primary

Addresses

Primary practice location

146 W Walnut LN
Philadelphia, PA 19144-2612

Mailing address

PO Box 25639
Philadelphia, PA 19144-0639
Phone (215) 843-4528

National Provider Directory

National Provider Directory
Tax ID family
Green Tree School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1811010093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25639",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191440639",
            "telephone_number": "215-843-4528",
            "fax_number": "215-843-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W WALNUT LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442612",
            "telephone_number": "215-843-4528",
            "fax_number": "215-843-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TREE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "AXELROD",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-843-4528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "121810",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 24, 2008; 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.