Open Heart Children'S Youth Services LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

OPEN HEART CHILDREN'S YOUTH SERVICES LLC

Practice address

1546 N Felton St
Philadelphia, PA 19151-3807

Phone

(610) 314-0809

NPI assigned

Aug 16, 2023

Organization subpart

No

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

Authorized official

Name

Chevelle Howard

Title

Ceo

Phone

(610) 314-0809

Specialties & licenses 5

Addresses

Other names 1

• Chevelle Howard Former legal business name

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1912780693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 N FELTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513807",
            "telephone_number": "610-314-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEART CHILDREN'S YOUTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHEVELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-314-0809"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chevelle Howard",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Open Hands Home Care
• Open Heart Home Care Corp
• Open M.R.I of Chestnut Hill, L.L.C.
• Openarms Home Care Agency, LLC
• Openarms Homecare
• Ophelia Medical Group FL, P.a.

• Clinical Child & Adolescent Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.