Organization Active NPI

Center for Anxiety, Ocd, and Cognitive Behavioral Therapy, LLD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1861062044
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTER FOR ANXIETY, OCD, AND COGNITIVE BEHAVIORAL THERAPY, LLD.
Practice address
1518 Walnut St Ste 1702
Philadelphia, PA 19102-3409
Phone
(267) 577-0013
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Authorized official

Name
Dr. Daniel Chazin, PHDNPI 1851751689
Title
Director
Phone
(917) 741-4719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1518 Walnut St Ste 1702
Philadelphia, PA 19102-3409

Mailing address

1518 Walnut St Ste 1702
Philadelphia, PA 19102-3409
Phone (267) 577-0013

National Provider Directory

National Provider Directory

Locations

1518 Walnut St
Philadelphia, PA 19102
Phone (267) 416-0560

1518 Walnut St
Ste 1702
Philadelphia, PA 19102
Phone (215) 360-3547

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1861062044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 1702",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023409",
            "telephone_number": "267-577-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 1702",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023409",
            "telephone_number": "267-577-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ANXIETY, OCD, AND COGNITIVE BEHAVIORAL THERAPY, LLD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "CHAZIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-741-4719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Dec 22, 2024; 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.