NPIMap

Organization Active NPI

Sobriety Through Out Patient, Inc.

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1962543587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
807213 Issued in PA
Legal business name
SOBRIETY THROUGH OUT PATIENT, INC.
Practice address
2534 N Broad St
Suite 200
Philadelphia, PA 19132-4013
Phone
(215) 227-7867
Fax
(215) 227-5268
NPI assigned
Feb 8, 2007
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
Dr. Frederick E. Heard, PHD
Title
Ceo
Phone
(215) 227-7867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 807213 PA Primary

Addresses

Primary practice location

2534 N Broad St
Suite 200
Philadelphia, PA 19132-4013

Mailing address

2534 N Broad St
Suite 200
Philadelphia, PA 19132-4013
Phone (215) 227-7867

Other identifiers 1

IdentifierTypeStateIssuer
1007369710006MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Sobriety Through Out Patient Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2534 N Broad St
Ste 200
Philadelphia, PA 19132
Phone (215) 227-7867

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962543587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324013",
            "telephone_number": "215-227-7867",
            "fax_number": "215-227-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191324013",
            "telephone_number": "215-227-7867",
            "fax_number": "215-227-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY THROUGH OUT PATIENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-227-7867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "807213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007369710006",
            "state": "PA"
        }
    ],
    "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 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.