CORECARE BEHAVIORAL HEALTH (NPI# 1851390561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851390561 |
| Entity Type | Organization |
| Organization Name | CORECARE BEHAVIORAL HEALTH |
| Other Organization Name | KIRKBRIDE CENTER |
| Practice Address |
111 N 49th St Philadelphia PA 19139-2718 |
| Practice Telephone | 2154712488 |
| Mailing Telephone | 2154712488 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-10-22 |
| Authorized Official Name | MISS ROSE S DIOTTAVIO (PRESIDENT) |
| Authorized Official Telephone | 2154712853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 807208 | PA | Hospital Units |
| N | 273Y00000X | Rehabilitation Unit | 807208 | PA | Hospital Units |
| N | 283Q00000X | Psychiatric Hospital | Hospitals | ||
| Y | 273R00000X | Psychiatric Unit | 197910 | PA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007737600004 | 05 |
| Other Name | Type Code |
|---|---|
| Kirkbride Center | Doing Business As Name - Organization |
| Street Address |
111 N 49TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360724 | Chinyere Adama Enyia | Nurse Practitioner | 111 N 49th St, Philadelphia, PA 19139-2718 | 2018-09-17 |
| 1790095933 | John David Nicholson Jr. | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2010-10-20 |
| 1891014783 | West Philadelphia Community Mental Health Consortium | Early Intervention Provider Agency | 111 N 49th St, Early Intervention Program, Philadelphia, PA 19139-2718 | 2010-05-18 |
| 1275787731 | Bella Yampolsky | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-11-11 |
| 1558520841 | Corecare Behavioral Health Management, Inc. | Clinic/Center | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-06-03 |
| 1861676801 | Erica M Brendel | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-12-27 |
| 1891974424 | Stephen Karafelli | Social Worker | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-10-31 |
| 1699963736 | First Home Care Corporation | Community/Behavioral Health | 111 N 49th St, 1st Floor, Philadelphia, PA 19139-2718 | 2007-10-12 |
| 1477676328 | Fred Baurer | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-07 |
| 1841312196 | Kambeze Banan Etemad | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
| 1871012575 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1295253920 | Chestnut Hill Hospital, LLC | Psychiatric Unit | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2017-09-01 |
| 1699291690 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-08-21 |
| 1003175514 | University of Pennsylvania | Psychiatric Unit | 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104-5127 | 2012-05-04 |
| 1093087157 | Prime Healthcare Services Roxborough LLC | Psychiatric Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| 1669752408 | Hahnemann University Hospital | Psychiatric Unit | 230 N Broad St, Philadelphia, PA 19102-1121 | 2011-08-25 |
| 1023267861 | Pa Hospital of The University of Pa Health System | Psychiatric Unit | 800 Spruce St, Hall Mercer Cmh/mrc, Philadelphia, PA 19107-6130 | 2008-09-17 |
| 1295902518 | Temple University Hospital, Inc - Psych Unit | Psychiatric Unit | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2008-05-15 |
| 1871704403 | North Philadelphia Health System | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.