ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED (NPI# 1235205584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235205584 |
| Entity Type | Organization |
| Organization Name | ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED |
| Practice Address |
928 Market St Philadelphia PA 19107-4226 |
| Practice Telephone | 2159234202 |
| Practice Fax Number | 2159234751 |
| Mailing Telephone | 2159234202 |
| Mailing Fax Number | 2159234751 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MR. ROBERT HOLMES (EXEXCUTIVE DIRECTOR) |
| Authorized Official Telephone | 2159234202 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 807161 | PA | Ambulatory Health Care Facilities |
| N | 251K00000X | Public Health or Welfare | 807161 | PA | Agencies |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
807161 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007781200004 | 05 | |
| PA | 1007781200005 | 05 |
| Street Address |
928 MARKET ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588037170 | Michelle Newdeck | Counselor | 928 Market St, Philadelphia, PA 19107-4226 | 2015-11-05 |
| 1083031397 | Lauren Brooks | Counselor | 928 Market St, Philadelphia, PA 19107-3731 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
|---|---|---|---|---|
| 1851745566 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 2100 N Front St, Philadelphia, PA 19122-1705 | 2016-04-19 |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED.
| 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.