Individual provider Active NPI

Charles Stanfa Jr., D.O.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1861832156
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS018290 Issued in PA
Practice address
3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309
Phone
(215) 746-6700
NPI assigned
Jul 1, 2013
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS018290 PA Primary

Addresses

Primary practice location

3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309

Mailing address

3535 Market St
3Rd Floor
Philadelphia, PA 19104-3309
Phone (215) 746-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001118 PA Practitioner - Psychiatry 3072891258 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rowan University School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

680 American Ave
Suite 302
King of Prussia, PA 19406-4023
Phone (833) 351-8255

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
78.42
Improvement activities
40
Cost
70.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS018290PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group CurrentSince Jul 15, 2019 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Sep 14, 2021 Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Sep 14, 2021 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Springfield Psychological PC CurrentSince Jul 26, 2022 Accepting new patients
Haven Behavioral Services of West Chester, LLC CurrentSince Aug 5, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Pottstown Clinic Company LLC CurrentSince Feb 1, 2022 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jun 16, 2025 Accepting new patients
Tower Drexel Academic Medical Group LLC Current Accepting new patients
University of Penn-Medical Group Psychiatry CurrentSince Aug 28, 2016 Accepting new patients
Tower Health Medical Group CurrentSince Jul 15, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 28, 2016 Accepting new patients
Horizon House - Delaware Inc Past Accepting new patients

Locations

305 Second Ave
Collegeville, PA 19426
Phone (484) 961-8220

102 Pickering Way
Ste 506
Exton, PA 19341
Phone (856) 472-5092

680 American Ave
Ste 302
King of Prussia, PA 19406
Phone (302) 358-9482

1427 Vine St
Fl 1
Philadelphia, PA 19102
Phone (267) 507-6581

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

3535 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 746-6700

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

400 E Marshall St
West Chester, PA 19380
Phone (484) 826-0400

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1861832156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-746-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 MARKET ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043309",
            "telephone_number": "215-746-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFA",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS018290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.