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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
SOPHIA G HOLDER (EVP & CHIEF FINANCIAL OFFICER)
(267) 426-6022
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
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/29/2006
Last updated
09/18/2025
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