PHILADELPHIA FIGHT (NPI# 1679744783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679744783 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA FIGHT |
| Practice Address |
1233 Locust St Suite 500 Philadelphia PA 19107-5453 |
| Practice Telephone | 2159854448 |
| Practice Fax Number | 2159854952 |
| Mailing Telephone | 2159854448 |
| Mailing Fax Number | 2159854952 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-08-19 |
| Authorized Official Name | DR. KEVIN CARSON MOORE (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2159854448 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
807406 | PA | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE | 1007472220003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487082608 | Philadelphia Fight | Clinic/Center | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2013-10-25 |
| 1760507859 | Philadelphia Fight | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-03-20 |
| Street Address |
1233 LOCUST ST SUITE 500 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482192 | Women Organized Against Rape | Counselor | 1233 Locust St, Suite 202, Philadelphia, PA 19107-5453 | 2005-10-27 |
| 1841811197 | Jordan Twine | Social Worker | 1233 Locust St, Philadelphia, PA 19107-5453 | 2020-04-28 |
| 1457800559 | Lauren Hapeman | Dental Hygienist | 1233 Locust St, Philadelphia, PA 19107-5453 | 2016-09-29 |
| 1548648850 | Kelly Huynh | Nurse Practitioner | 1233 Locust St, Suite 400, Philadelphia, PA 19107-5453 | 2015-05-07 |
| 1093062572 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 1233 Locust St, Philadelphia, PA 19107-5453 | 2012-08-14 |
| 1306171764 | Shobha Sharma | Nurse Practitioner | 1233 Locust St, Suite 400, Philadelphia, PA 19107-5453 | 2009-10-02 |
| 1013142439 | Roshani Therese Anandappa | Pediatrics | 1233 Locust St, Suite 400, Philadelphia, PA 19107-5453 | 2009-05-29 |
| 1215182944 | Kevin C. Moore | Counselor | 1233 Locust St, Philadelphia, PA 19107-5453 | 2008-11-21 |
| 1508011313 | Thomas Jefferson University | Community/Behavioral Health | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2008-11-20 |
| 1831347640 | Amy P Callahan | Nurse Practitioner | 1233 Locust St, 304, Philadelphia, PA 19107-5453 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| 1952939068 | King Motivates, LLC | Clinic/Center | 1939 Page St, Philadelphia, PA 19121-1513 | 2020-04-01 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1235781220 | Annie Strout Counseling LLC | Clinic/Center | 1713 S Dorrance St, Philadelphia, PA 19145-2108 | 2019-07-10 |
| 1497170625 | Citywide Community Counseling Services | Clinic/Center | 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 | 2014-02-25 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1780008961 | Citywide Community Counseling Services | Clinic/Center | 137 E. Allegheny Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on PHILADELPHIA FIGHT.
| 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.