Active NPI
Westmeade Center
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Philadelphia, PA
National Provider Identifier
1982763017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 187750
- Legal business name
- WESTMEADE CENTER
- Practice address
- 111 N 49TH St
Philadelphia, PA 19139-2718 - Phone
- (215) 471-2687
- Fax
- (215) 471-2845
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rose Diottavio
- Title
- President
- Phone
- (215) 471-2687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 187750 | PA | Primary |
Addresses
Primary practice location
111 N 49TH St
Philadelphia, PA 19139-2718
Mailing address
111 N 49TH St
Philadelphia, PA 19139-2718
Phone (215) 471-2687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007723600009 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1982763017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 49TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191392718",
"telephone_number": "215-471-2687",
"fax_number": "215-471-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 49TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191392718",
"telephone_number": "215-471-2687",
"fax_number": "215-471-2845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTMEADE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "DIOTTAVIO",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-471-2687",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "PA",
"license": "187750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007723600009",
"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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.