UNIVERSITY OF PENNSYLVANIA


Address: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104-5127
Phone: 2156141828

UNIVERSITY OF PENNSYLVANIA (NPI# 1003175514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003175514
Entity Type Organization
Organization Name UNIVERSITY OF PENNSYLVANIA
Practice Address 3400 Civic Center Blvd
2 South Pavilion
Philadelphia
PA 19104-5127
Mailing Address 3615 Chestnut St
Philadelphia
PA 19104-2612
Practice Telephone 2156141828
Mailing Telephone 2156141828
Enumeration Date 2012-05-04
Last Update Date 2012-05-04
Authorized Official Name ANGELA SHELTON (DEPT PSYCHIATRY)
Authorized Official Telephone 2156153020
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit CW017256 PA Hospital Units

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164736948 University of Pennsylvania General Acute Care Hospital 125 S 31st St, Suite 2000, Philadelphia, PA 19104-3413 2010-08-04
1003209834 University of Pennsylvania General Acute Care Hospital 422 Curie Blvd, 1009c Stellar Chance Laboratories, Philadelphia, PA 19104-4860 2015-03-18
1205234382 University of Pennsylvania Dentist 240 S 40th St, Philadelphia, PA 19104-6030 2014-12-05
1265690010 University of Pennsylvania General Acute Care Hospital 3535 Market St, Suite 670, Philadelphia, PA 19104-3309 2008-05-29

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities University of Pennsylvania Alumni Club of Colorado 1840 South Monroe Street, Denver, CO 80210
Connecticut Business Registrations UNIVERSITY OF PENNSYLVANIA ALUMNI CLUB OF FAIRFIELD COUNTY, INC. 25 Waterville Road, Southport, CT 06490
New York State Corporations UNIVERSITY OF PENNSYLVANIA CLUB OF ROCHESTER, INC. Nixon Hargrave Devans & Doyle, Clinton Square P.o. Box 1051, Rochester, Ny 14603
Massachusetts Corporations UNIVERSITY OF PENNSYLVANIA REGIONAL ADVISORY BOARD OF NEW E* Herbert Carver, 56 Westgate Rd., Newton Centre, MA 02159
System for Award Management (SAM) Entities UNIVERSITY OF PENNSYLVANIA STUDENTS FEDERAL CREDIT UNION 3401 Walnut St Ste 431a, Philadelphia, PA 19104-6228

Office Location

Street Address 3400 CIVIC CENTER BLVD
2 SOUTH PAVILION
City PHILADELPHIA
State PA
Zip Code 19104-5127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027727 Joel D Glickman Internal Medicine 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 2005-07-18
1841891058 Abigail Brooke Horowitz Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-11-04
1073129532 Samuel Kovell Physician Assistant 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-21
1306451695 Farzad Nourollah-zadeh Oral Medicinist 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-09-13
1609492917 Mosetta Harris Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-06-23
1063032530 Monique Maria Tee Internal Medicine 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-24
1609495290 Katharine Freeman Michel Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 2020-04-13
1609495498 Taha Samir Ghouleh Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-11
1952930554 Danielle Marie Lamarra Nurse Practitioner 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-04-06
1982232658 Jasmine Hwang Student in an Organized Health Care Education/Training Program 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 2020-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1780895318 North Philadelphia Health System Psychiatric Unit 801 W Girard Ave, Philadelphia, PA 19122-4212 2007-05-25
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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