THE BEHAVIORAL WELLNESS CENTER AT GIRARD NPI 1336350966

NPI Information

  • NPI: 1336350966
  • Provider Name: THE BEHAVIORAL WELLNESS CENTER AT GIRARD
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: GMC GOLDMAN CLINIC GOLDMAN IOP
  • Address: 801 W GIRARD AVE
    PHILADELPHIA, PA
    ZIP 19122
  • Phone: (215) 787-2000

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NPI Details

THE BEHAVIORAL WELLNESS CENTER AT GIRARD is a methadone clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. THE BEHAVIORAL WELLNESS CENTER AT GIRARD NPI is 1336350966. The provider is registered as an organization entity type.
The provider Is Doing Business As Gmc Goldman Clinic Goldman Iop.

The provider's business location address is:

801 W GIRARD AVE
PHILADELPHIA, PA
ZIP 19122-212
Phone: (215) 787-2000

The provider's authorized official is Gerri H Walker .
The authorized official title is Ceo and has the following contact phone number (215) 787-9001.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadoneYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007276960111MEDICAIDPENNSYLVANIA
21007276960014MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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