WESTMEADE CENTER (NPI# 1982763017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982763017 |
Entity Type | Organization |
Organization Name | WESTMEADE CENTER |
Practice Address |
111 N 49th St Philadelphia PA 19139-2718 |
Practice Telephone | 2154712687 |
Practice Fax Number | 2154712845 |
Mailing Telephone | 2154712687 |
Mailing Fax Number | 2154712845 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-06-26 |
Authorized Official Name | MS. ROSE DIOTTAVIO (PRESIDENT) |
Authorized Official Telephone | 2154712687 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 187750 | PA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007723600009 | 05 |
Street Address |
111 N 49TH ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19139-2718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851390561 | Corecare Behavioral Health | Rehabilitation, Substance Use Disorder Unit | 111 N 49th St, Philadelphia, PA 19139-2718 | 2005-07-15 |
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 |
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 | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
1639622681 | Cosmological LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5746 N 19th St, Philadelphia, PA 19141-1204 | 2016-07-26 |
1184073645 | New Beginings LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2732 N 22nd St, Philadelphia, PA 19132-2601 | 2016-06-06 |
1861540932 | St. Vincent's Tacony | Residential Treatment Facility, Emotionally Disturbed Children | 7201 Milnor St, Philadelphia, PA 19135-1524 | 2007-01-08 |
1265608459 | St Gabriels System | Residential Treatment Facility, Emotionally Disturbed Children | 227 N 18th St, Philadelphia, PA 19103-1212 | 2008-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376028860 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Lakeshore Drive, Langhorne, PA 19047-1616 | 2018-10-01 |
1861971665 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Woodlands Drive, Langhorne, PA 19047-1616 | 2018-08-13 |
1487133286 | Woods Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19 Sandalwood Circle, Langhorne, PA 19047-1616 | 2018-08-13 |
1821592270 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 357 Roebling Drive, Langhorne, PA 19047-1616 | 2018-03-21 |
1184127722 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 17 Woodlands Drive, Langhorne, PA 19047 | 2018-03-09 |
1235632977 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 84 Buttonwood Drive, Langhorne, PA 19047-0036 | 2018-03-08 |
1295286615 | Chor Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1023 Pear Street, Reading, PA 19601 | 2016-10-20 |
1871905380 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12 Foxwood Drive, Langhorne, PA 19047-0036 | 2014-06-02 |
1780096297 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 15 Foxwood Drive, Langhorne, PA 19047-1616 | 2014-06-02 |
1245669126 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 24 Elmwood Drive, Langhorne, PA 19047 | 2013-11-01 |
Find all providers with the same taxonomy |
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.