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Organization
THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
Active
Organization
THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
Active
Parent organization
THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
Other names
CHOP Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
Authorized official
FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization
Contact information
Practice address
4601 MARKET ST FL 3, PHILADELPHIA, PA 19139-4636
(215) 590-7555
(215) 590-7555
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/29/2006
Last updated
09/23/2026
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