UNIVERSITY OF PENNSYLVANIA
NPI 1003175514
Psychiatric Unit in Philadelphia, PA

NPI Status: Active since May 04, 2012

Contact Information

3400 CIVIC CENTER BLVD
2 SOUTH PAVILION
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 614-1828

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  • Organization
  • Psychiatric Unit
  • CLIA Number: 39D2008569
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 02-29-2028

About UNIVERSITY OF PENNSYLVANIA

This page provides the complete NPI Profile along with additional information for University Of Pennsylvania, a provider established in Philadelphia, Pennsylvania operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1003175514 assigned on May 2012. The practitioner's primary taxonomy code is 273R00000X with license number CW017256 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Angela Shelton (Dept Psychiatry)

NPI
1003175514
Provider Name
UNIVERSITY OF PENNSYLVANIA
Entity Type
Organization
Location Address
3400 CIVIC CENTER BLVD 2 SOUTH PAVILION PHILADELPHIA, PA 19104
Location Phone
(215) 614-1828
Mailing Address
3615 CHESTNUT ST PHILADELPHIA, PA 19104
Mailing Phone
(215) 614-1828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2012
Last Update Date
05-04-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
CW017256
License State
PA
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA SHELTON

Authorized Official Title
DEPT PSYCHIATRY
Authorized Official Phone
(215) 615-3020

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2008569
Facility Type
School/Student Health Service
Certificate Effective Date
March 01, 2026
Certificate Expiration Date
February 29, 2028
Laboratory Director
DR. KYLE M. KAMPMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to University Of Pennsylvania to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003175514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 2 + 7 + 1 + 0 + 5 + 2 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003175514.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, ENT DEPT FIRST FLOOR WOOD BLDG
PHILADELPHIA, PA 19104
Internal Medicine (Rheumatology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, DIVISION OF CARDIO
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD, 5 WOOD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD, CHOP/ DIVISION OF ENDOCRINOLOGY
PHILADELPHIA, PA 19104
Internal Medicine
3400 CIVIC CENTER BLVD, EAST PAVILION 2ND FLOOR
PHILADELPHIA, PA 19104
Dermatology
3400 CIVIC CENTER BLVD, 1-330S PERELMAN CENTER
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Nurse Practitioner (Critical Care Medicine)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Neonatal, Critical Care)
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 CIVIC CENTER BLVD, 4TH FLOOR PERELMAN WEST
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 CIVIC CENTER BLVD, PCAM, 2 WEST
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003175514, enumerated as an "organization" on May 04, 2012.

The provider is located at 3400 CIVIC CENTER BLVD 2 SOUTH PAVILION PHILADELPHIA, PA 19104 and the phone number is (215) 614-1828.

Psychiatric Unit with taxonomy code 273R00000X.