NPIMap

Organization Active NPI

Yale Program

  • Psychiatric Residential Treatment Facility
  • Phila, PA
National Provider Identifier
1821158023
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
YALE PROGRAM
Practice address
4700 Wissahickon Ave
Phila, PA 19144-4248
Phone
(215) 951-0300
Fax
(215) 951-0312
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matt Sarafinas
Title
Director
Phone
(610) 527-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

4700 Wissahickon Ave
Phila, PA 19144-4248

Mailing address

1029 County Line Rd
Bryn Mawr, PA 19010-2601
Phone (610) 527-3411

Other identifiers 1

IdentifierTypeStateIssuer
1000017080180MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Wilmington Now RHD285 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821158023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102601",
            "telephone_number": "610-527-3411",
            "fax_number": "610-527-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-951-0300",
            "fax_number": "215-951-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARAFINAS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "610-527-3411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000017080180",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.