NPIMap

Organization Active NPI

Children's Hospital of Philadelphia

  • Adolescent and Children Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1851000673
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice address
4601 Market St FL 3
Philadelphia, PA 19139-4636
Phone
(215) 590-1000
NPI assigned
Nov 21, 2022
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

4601 Market St FL 3
Philadelphia, PA 19139-4636

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-2897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120111000582 PA Part A Provider - Hospital 1254324122 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Philadelphia, PA; King of Prussia, PA; Glen Mills, PA; Exton, PA; Chalfont, PA; Abington, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851000673. Details of each certification follow.

Hospital certification: CCN 393303

Legal name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jul 1, 1985
Last certification
Apr 9, 2024
Beds
710 (435 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 11, 1963 in PA
Enrollment address
3401 Civic Center Blvd
Philadelphia, PA 19104-4399
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Children's Hospital of PhiladelphiaCCN 393303 · All quality measures
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kids First Indian Valle70 organizations share this tax ID, including this one
Part of
Kids First Indian Valle

Organizations with this tax ID in the same state 22

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

View all 22

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alert L Betz Individual Corporate Director Jan 1, 2011
Ashley a McEvoy Individual Corporate Director Jul 1, 2020
Madeline Bell Individual Corporate Director Jan 1, 1995
Diem Nguyen Individual Corporate Director Jul 1, 2017
Amanda Westphal Radcliffe Individual Corporate Director Jul 1, 2021
Reid Buerger Individual Corporate Director Jul 1, 2012
Gregory Davis Individual Corporate Director Jul 1, 2020
Sophia G Holder Individual W-2 Managing EmployeeEvp and Cfo Apr 12, 2021 100%
Damien R Dwin Individual Corporate Director Jul 1, 2020
David Holveck Individual Corporate Director Jul 1, 2013
Lissa Biesecker Individual Corporate Director Jul 1, 2020
Joseph W St Geme Individual Corporate Director Jul 1, 2013
Christopher T Gheysens Individual Corporate Director Jul 1, 2017
Nick Scott Adzick Individual Corporate Director Jan 1, 1995
Sharad Mansukani Individual Corporate Director Feb 14, 2013
George E Aitken-Davies Individual Corporate DirectorDirector Jul 1, 2023
Steven M Gipstein Individual Corporate Director Jul 1, 2020
Seth J Lehr Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 45

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1851000673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "215-590-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MARKET ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394636",
            "telephone_number": "215-590-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "267-425-5765"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.