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Contact Information

UNIVERSITY OF PENN PSYCHIATRY
3400 SPRUCE ST
PHILADELPHIA, PA19104-4206
 Phone: 866-301-4724
 Fax: 215-662-7200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF PENN PSYCHIATRY

NPI # 1487667978
LBN Legal business name UNIVERSITY OF PENN PSYCHIATRY
Authorized official ELIZABETH JOHNSTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2006
Last updated 07/15/2010 - About 16 years ago
Identifiers
NJ Medicaid 8749400
PA Medicaid 0007839500
PA Other 039240 BLUE SHIELD
PA Other CA5037 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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