NPIMap

Organization Active NPI

Children'S Crisis Treatment Center

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1992901714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC004151 Issued in PA
Legal business name
CHILDREN'S CRISIS TREATMENT CENTER
Practice address
417 N 8TH St
Suite 402
Philadelphia, PA 19123-3916
Phone
(215) 496-0707
Fax
(215) 627-9042
NPI assigned
Jun 27, 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
Susan M Stimmell
Title
Clinician
Phone
(215) 496-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC004151 PA Primary

Addresses

Primary practice location

417 N 8TH St
Suite 402
Philadelphia, PA 19123-3916

Mailing address

417 N 8TH St
Suite 402
Philadelphia, PA 19123-3916
Phone (215) 496-0707

National Provider Directory

National Provider Directory
Tax ID family
Children'S Crisis Treatment Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

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": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992901714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N 8TH ST",
            "address_2": "SUITE 402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233916",
            "telephone_number": "215-496-0707",
            "fax_number": "215-627-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N 8TH ST",
            "address_2": "SUITE 402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233916",
            "telephone_number": "215-496-0707",
            "fax_number": "215-627-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CRISIS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIMMELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "215-496-0707"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC004151",
            "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 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.