JOSEPH J. PETERS INSTITUTE
NPI 1023177144
Community/Behavioral Health in Philadelphia, PA

Active since December 06, 2006
100 SOUTH BROAD STREET, 17TH FLOOR, PHILADELPHIA, PA 19110(215) 701-1560(215) 701-1572 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Joseph J. Peters Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH J. PETERS INSTITUTE (NPI 1023177144) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since December 2006. The organization maintains 5 additional practice locations and lists Ivan O Haskell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023177144
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJOSEPH J. PETERS INSTITUTE
Location Address100 SOUTH BROAD STREET, 17TH FLOORPhiladelphia, PA 19110
Mailing Address100 South Broad Street, 17th FloorPhiladelphia, PA 19110 · (215) 701-1560 · Fax (215) 701-1572
Fax(215) 701-1572
Organization SubpartNo
Authorized OfficialIvan O HaskellExecutive Director · (215) 701-1560
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 24, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1023177144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · 117040
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/CenterTaxonomy 261Q00000X
100 SOUTH BROAD STREET, Philadelphia, PA 19110

Secondary Practice Locations 5

Location 1100 S Broad St Ste 1525Philadelphia, PA 19110-1026 · Phone (215) 701-1560
Location 21100 Devereaux AvePhiladelphia, PA 19111-5826 · Phone (267) 279-3993
Location 34601 Market StPhiladelphia, PA 19139-4636 · Phone (215) 764-2387
Location 41211 Chestnut St Fl 5Philadelphia, PA 19107-4117 · Phone (215) 665-8670
Location 52300 W Master StPhiladelphia, PA 19121-4996 · Phone (445) 289-0398

Other Identifiers 1

Medicaid1007562120008PA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph J. Peters Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Joseph J. Peters Institute, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1609749944
4829 BALTIMORE AVE APT 3
Philadelphia, PA 19143
(856) 425-0743
✔ PECOS3.0 mi
Clinical Psychologist
NPI 1073731725
630 FITZWATERTOWN RD
Willow Grove, PA 19090
(215) 658-4533
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph J. Peters Institute's NPI number?

The NPI number for Joseph J. Peters Institute is 1023177144. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Joseph J. Peters Institute located?

Joseph J. Peters Institute is located at 100 South Broad Street 17th Floor, Philadelphia, PA 19110. The listed phone number is (215) 701-1560.

What is Joseph J. Peters Institute's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Joseph J. Peters Institute enrolled in Medicare?

Yes. Joseph J. Peters Institute is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Joseph J. Peters Institute?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Joseph J. Peters Institute. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Joseph J. Peters Institute was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.