ACCLAIM AUTISM
Complete NPI Record 1124667456
Community/Behavioral Health in Philadelphia, PA

Active since January 03, 2020
330 N 41ST ST, PHILADELPHIA, PA 19104(888) 805-8206(855) 936-1282 Get Directions

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 17, 2024, Jun 4, 2023, Jun 8, 2022 and 2 more (5 updates tracked since 2020).

Complete NPI Dataset

This page contains the complete raw NPPES record for Acclaim Autism (NPI 1124667456), a community/behavioral health organization in Philadelphia, PA. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1124667456
Field 1/29
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/29
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/29
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: ASPIRE AUTISM INC.
Field 4/29
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: ACCLAIM AUTISM
Field 5/29
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Field 6/29
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 2929 ARCH ST STE 1700
Field 7/29
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: PHILADELPHIA
Field 8/29
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
Field 9/29
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 191047327
Field 10/29
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 11/29
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider First Line Business Practice Location Address: 330 N 41ST ST
Field 12/29
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: PHILADELPHIA
Field 13/29
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
Field 14/29
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 191042234
Field 15/29
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 16/29
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8888058206
Field 17/29
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8559361282
Field 18/29
The fax number associated with the location address of the provider being identified.
Authorized Official Last Name: TURNER
Field 21/29
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: JAMIE
Field 22/29
The first name of the authorized official.
Authorized Official Title or Position: MANAGING & ADMINISTRATIVE DIRECTOR
Field 23/29
The title or position of the authorized official.
Authorized Official Telephone Number: 8888058206
Field 24/29
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 251S00000X
Field 25/29
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 26/29
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N
Field 27/29
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Name Prefix Text: MR.
Field 28/29
The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.

Secondary Practice Locations 5

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

8 N Queen St Ste 301
Location 1/5
Lancaster, PA 17603-3831 · Phone (888) 805-8206 · Fax (855) 936-1282
419 N Franklin St Ste 2
Location 2/5
West Chester, PA 19380-2400 · Phone (888) 805-8206 · Fax (855) 936-1282
2929 Arch St Ste 1700
Location 3/5
Philadelphia, PA 19104-7327 · Phone (888) 805-8206
101 Greenwood Ave Ste 120
Location 4/5
Jenkintown, PA 19046-2649 · Phone (888) 805-8206 · Fax (855) 936-1282
1410 N 31st St
Location 5/5
Philadelphia, PA 19121-3870 · Phone (888) 805-8206 · Fax (855) 936-1282
No registry entries match your active lookup criteria.