Nueva Vida Mental Health Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NUEVA VIDA MENTAL HEALTH CENTER

Doing business as

Nueva Vida Behavioral Health Care

Practice address

618 W Lehigh Ave
Philadelphia, PA 19133-2227

Phone

(215) 229-8857

Fax

(215) 229-0654

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pirooz Sholevar, M.D.

Title

Executive Director

Phone

(215) 229-8857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NUEVA VIDA BEHAVIORAL HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Nueva Vida Behavioral Health Care2 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.

• Nueva Vida Mental Health Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1417002320
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghodrat P Sholevar, MD

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1649324955
  Medicare reassignment NPD

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1821142118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332227",
            "telephone_number": "215-229-8857",
            "fax_number": "215-229-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332227",
            "telephone_number": "215-229-8857",
            "fax_number": "215-229-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "SHOLEVAR",
        "authorized_official_first_name": "PIROOZ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-229-8857",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE NUMBER",
            "identifier": "0016954870002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUEVA VIDA BEHAVIORAL HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NUEVA VIDA BEHAVIORAL HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nu Hands LLC
• Akosua D. Nuamah, CRNP
• Alva Nudi-Muldoon
• Nueva Esperanza Academy Charter School
• Nueva Vida Mental Health Center
• Christine Checefsky Nugent, PT
• Jessica Nugent
• Katherine E Nugent, DPT
• Lenore Janel Nugent, MS,OTRL
• Melinda Nugent, M.D.

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.