BELMONT BEHAVIORAL HOSPITAL, LLC (NPI# 1578062493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578062493 |
| Entity Type | Organization |
| Organization Name | BELMONT BEHAVIORAL HOSPITAL, LLC |
| Other Organization Name | PHILADELPHIA CHILDREN'S CRISIS RESPONSE CENTER |
| Practice Address |
3300 Henry Ave Philadelphia PA 19129 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 2155159433 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | CHRISTOPHER HOWARD (DIRECTOR, VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BELMONT BEHAVIORAL HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Philadelphia Children's Crisis Response Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346621448 | Belmont Behavioral Hospital, LLC | Clinic/Center | 11600 Caroline Rd, Philadelphia, PA 19154-2110 | 2015-06-15 |
| 1306228077 | Belmont Behavioral Hospital, LLC | Clinic/Center | One Penn Blvd, Center Tower, Philadelphia, PA 19144 | 2015-06-18 |
| 1629468137 | Belmont Behavioral Hospital, LLC | Psychiatric Hospital | 4200 Monument Rd, Philadelphia, PA 19131-1625 | 2015-02-04 |
| Street Address |
3300 HENRY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361978 | Amanda Marie Mastronardi | Social Worker | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2020-06-19 |
| 1467085092 | Yuriko Matsuo | Nurse Practitioner | 3300 Henry Ave, Philadelphia, PA 19129 | 2020-02-21 |
| 1518590249 | Joshua Ross Burton | Counselor | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2020-02-21 |
| 1831722164 | Tinika Rhonda Stubbs | Health Educator | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2020-02-14 |
| 1689207037 | Kathleen Giosso | Health Educator | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2020-02-13 |
| 1811556723 | Summer L Fowlkes | Behavioral Analyst | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2019-06-13 |
| 1265996938 | Devereux Foundation | Clinic/Center | 3300 Henry Ave, Philadelphia, PA 19129-1141 | 2019-01-28 |
| 1396250833 | Community Services of Devereux | Community/Behavioral Health | 3300 Henry Ave, Philadelphia, PA 19129-1121 | 2017-12-06 |
| 1124531520 | Robert Edison Slawinski | Psychologist | 3300 Henry Ave, Philadelphia, PA 19129-1121 | 2017-11-08 |
| 1427569706 | Marissa Decesaris | Nurse Practitioner | 3300 Henry Ave, Philadelphia, PA 19129-1121 | 2017-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982243754 | Margaret Brown | Social Worker | Sherman Mills 3502 Scott's Lane, Building 16, Philadelphia, PA 19129 | 2019-12-27 |
| 1518325760 | Care365 Inc | Case Management | 3507 Scotts Ln, Ste. 1923, Philadelphia, PA 19129 | 2016-02-03 |
| 1144698408 | Raymond C Nwaneri | Nurse Practitioner | 3301 Scotts Lane, Haven Behavioral Hospital, Philadelphia, PA 19129 | 2015-09-03 |
| 1659748432 | Donna S. Wolf | Social Worker | 3302 Tilden Street, Philadelphia, PA 19129 | 2015-08-27 |
| 1891066619 | Melissa Sayer | Advanced Practice Midwife | 2450 W. Hunting Park Ave, Temple University Health System, Philadelphia, PA 19129 | 2012-01-25 |
| 1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
| 1174754618 | Clarence B Iszard Jr. | Counselor | 3246 North Bailey Street, Philadelphia, PA 19129 | 2009-07-31 |
| 1487816708 | St.chris Care At Northeast Pediatrics, LLC | Pediatrics | One Falls Center, 3300 Henry Avenue, 4th Floor, Philadelphia, PA 19129 | 2008-06-27 |
| 1740400845 | Sharon L. Young | Psychologist | 3205 Defense Terrace, Abbottsford Family Practice & Counseling, Philadelphia, PA 19129 | 2007-04-30 |
| 1043355621 | Donald Herman Silverman | Dentist | 3405 Warden Drive, Philadelphia, PA 19129 | 2007-02-21 |
| Find all providers in zip 19129 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.