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Contact Information

UNIVERSITY OF PENN-MEDICAL GROUP
3535 MARKET ST
3RD FLOOR
PHILADELPHIA, PA19104-3309
 Phone: 215-746-6700
 Fax:
 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
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Marriage & Family Therapist

106H00000X
 

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-MEDICAL GROUP

NPI Number 1821486846
LBN Legal business name UNIVERSITY OF PENN-MEDICAL GROUP
Authorized official CHANTE JACKSON - (ENROLLMENT COOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2014
Last updated 11/20/2020 - About 6 years ago
Identifiers n/a
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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