PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE
NPI 1003459702
Clinic/Center - Mental Health (Including Community Mental Health Center) in Philadelphia, PA

NPI Status: Active since October 25, 2019

Contact Information

4700 WISSAHICKON AVE STE C102
PHILADELPHIA, PA
ZIP 19144
Phone: (610) 743-6049

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE

Psychiatry Tower Health Medical Group Wissahickon Avenue is a provider established in Philadelphia, Pennsylvania operating as a Clinic/center with a focus in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003459702 assigned on October 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Psychiatry Tower Health Medical Group Wissahickon Avenue operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Psychiatry Tower Health Medical Group Wissahickon Avenue. The authorized official of this NPI record is Gary Conner (Vp & Cfo)

NPI
1003459702
Provider Legal Name
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Other Organization Name
PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4700 WISSAHICKON AVE STE C102 PHILADELPHIA, PA 19144
Location Phone
(610) 743-6049
Mailing Address
PO BOX 13579 READING, PA 19612
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
10-25-2019
Last Update Date
10-21-2020
Code Navigator

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

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Location Map

Secondary Locations

  • 1427 Vine St Fl 1
    Philadelphia, PA 19102
    (267) 507-6581
  • 1427 Vine St Fl 8
    Philadelphia, PA 19102
    (267) 507-6581

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
2104100000XBehavioral Health & Social Service Providers

Social Worker

 
32084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

GARY CONNER

Authorized Official Title
VP & CFO
Authorized Official Phone
(484) 628-1324

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003459702
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003851870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 8 + 5 + 1 + 8 + 7 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1003459702 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003459702, enumerated in the NPI registry as an "organization" on October 25, 2019

The provider is located at 4700 Wissahickon Ave Ste C102 Philadelphia, Pa 19144 and the phone number is (610) 743-6049

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

This NPI record was last updated on October 25, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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