DREXEL UNIVERSITY (NPI# 1225163710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225163710 |
| Entity Type | Organization |
| Organization Name | DREXEL UNIVERSITY |
| Other Organization Name | DREXEL PSYCH OUTPATIENT CLINIC |
| Practice Address |
1427 Vine St Philadelphia PA 19102-1031 |
| Mailing Address |
1601 Cherry St Suite 11511 Philadelphia PA 19102-1320 |
| Practice Telephone | 2158314811 |
| Mailing Telephone | 2152557822 |
| Mailing Fax Number | 2152557825 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-06-11 |
| Authorized Official Name | DAVID JANIEC (DIRECTER OF PAYER CONTRACTING) |
| Authorized Official Telephone | 2152557766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Drexel Psych Outpatient Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598271207 | Drexel University | Social Worker | 1505 Race St Fl 6, Philadelphia, PA 19102-1119 | 2017-12-18 |
| 1265847560 | Drexel University | Preferred Provider Organization | 245 N 15th St # Ms 488, Philadelphia, PA 19102-1101 | 2014-06-25 |
| 1366870842 | Drexel University | Clinic/Center | 1601 Cherry St Fl 2, Parkway Health & Wellness Ms21041, Philadelphia, PA 19102-1306 | 2013-10-21 |
| 1134386147 | Drexel University | Dietitian, Registered | 219 N. Broad St., 9th Floor, Philadelphia, PA 19107 | 2008-05-19 |
| 1740335603 | Drexel University | Internal Medicine | 219 N Broad St Fl 9, Philadelphia, PA 19107-1506 | 2007-01-23 |
| 1760015283 | Drexel University | Family Medicine | 1427 Vine St Fl 2, Philadelphia, PA 19102-1031 | 2020-02-13 |
| 1659875284 | Drexel University | Internal Medicine | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2018-03-20 |
| 1790203669 | Drexel University | Nurse Practitioner | 1601 Cherry St Fl 2, Philadelphia, PA 19102-1306 | 2017-08-31 |
| 1184168858 | Drexel University | Case Management | 1601 Cherry St, Suite 11498, Philadelphia, PA 19102-1320 | 2016-12-14 |
| 1598134611 | Drexel University | Clinic/Center | 230 N Broad St, 18th Floor, Philadelphia, PA 19102-1121 | 2015-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DREXEL UNIVERSITY | 3201 Arch St Ste 420, Philadelphia, PA 19104-2755 |
| North Carolina Corporations | Drexel University | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
1427 VINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410793 | Sara L. Allen | Nurse Practitioner | 1427 Vine St, 5th Floor, Philadelphia, PA 19102-1031 | 2005-07-07 |
| 1316312788 | Jennifer Thompson | Nurse Practitioner | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2015-12-10 |
| 1871973313 | Elliot Goodenough | Family Medicine | 1427 Vine St, Philadelphia, PA 19102-1031 | 2015-05-30 |
| 1528477098 | Jared Goldman | Psychologist | 1427 Vine St, Philadelphia, PA 19102-1031 | 2014-08-08 |
| 1871925214 | Nicola D'souza | Social Worker | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2013-08-08 |
| 1497187835 | Sarah Baky | Social Worker | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2013-08-08 |
| 1942549365 | Richard Baccare | Social Worker | 1427 Vine St, Philadelphia, PA 19102-1031 | 2013-02-05 |
| 1912285065 | Shara Ilyse Epstein | Internal Medicine | 1427 Vine St, 2nd Floor, Philadelphia, PA 19102-1031 | 2011-07-22 |
| 1699062174 | Laura Panarey | Internal Medicine | 1427 Vine St, Philadelphia, PA 19102-1031 | 2011-07-05 |
| 1205157484 | Behnaz Rouhani | Ophthalmology | 1427 Vine St, Philadelphia, PA 19102-1031 | 2010-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on DREXEL UNIVERSITY.
| 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.