KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM (NPI# 1851745566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851745566 |
| Entity Type | Organization |
| Organization Name | KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM |
| Practice Address |
2100 N Front St Philadelphia PA 19122-1705 |
| Practice Telephone | 2154268100 |
| Practice Fax Number | 2159652344 |
| Mailing Telephone | 2154268100 |
| Mailing Fax Number | 2159652344 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | KATHLEEN LALLI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2154268100 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | Y |
| Parent Organization Name | KENSINGTON HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE PTAN | 400451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922156314 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-08 |
| Street Address |
2100 N FRONT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184016651 | Thw Group LLC | Clinic/Center | 7900 Frankford Ave, Philadelphia, PA 19136-3041 | 2015-02-20 |
| 1487796249 | Jewish Employment & Vocational Services | Clinic/Center | 5820 Old York Rd, Philadelphia, PA 19141-2506 | 2007-02-12 |
| 1356860050 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1336302017 | Kensington Hospital- Intensive Outpatient Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-03 |
| 1962680751 | Northeast Treatment Centers. Inc. | Clinic/Center | 499 N 5th St, Suite D-e, Philadelphia, PA 19123-4005 | 2008-02-05 |
| 1336350966 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| 1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
| 1669599973 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-23 |
| 1922156314 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-08 |
| 1598798928 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2006-07-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM.
| 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.