# THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
- **Other names:** CHOP Behavioral Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477645232
- **Legal business name:** THE CHILDRENS HOSPITAL OF PHILADELPHIA PRACTICE ASSOCIATION
- **Authorized official:** FABIAN STONE (VP REVENUE CYCLE)
- **Authorized official phone:** (267) 425-5765

## Contact information

- **Practice address:** 4601 MARKET ST FL 3, PHILADELPHIA, PA 19139-4636
- **Practice address phone:** (215) 590-7555
- **Practice address fax:** (215) 590-7555
- **Mailing address:** 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
- **Mailing address phone:** (215) 590-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 09/23/2026