GPHA WOODLAND AVE. BEHAVIORAL HEALTHCARE
NPI 1205140902
Clinic/Center - Federally Qualified Health Center (FQHC) in Philadelphia, PA

Q: What is Greater Philadelphia Health Action Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since August 05, 2010CLIA 39D2086611 · Microscopy

5501 WOODLAND AVE, PHILADELPHIA, PA 19143(215) 724-4700(215) 724-3111 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gpha Woodland Ave. Behavioral Healthcare NPPES

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

GPHA WOODLAND AVE. BEHAVIORAL HEALTHCARE (NPI 1205140902) is a healthcare organization registered as a federally qualified health center (fqhc) in Philadelphia, Pennsylvania and active in the NPI registry since August 2010. The organization holds a CLIA Microscopy certificate valid through November 6, 2026 and lists D Tina Smith, Provider Enrollment Spec., as its authorized official.

NPPES Registry Identity

NPI1205140902

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameGREATER PHILADELPHIA HEALTH ACTION INC.

Location Address5501 WOODLAND AVEPhiladelphia, PA 19143-5607

Mailing Address1401 S 31st St, 2nd FloorPhiladelphia, PA 19146-3506 · (215) 925-2400 · Fax (215) 925-9162

Phone(215) 724-4700

Fax(215) 724-3111

Organization SubpartNo

Authorized OfficialD Tina SmithProvider Enrollment Spec. · (215) 925-2400

Enumeration DateAugust 5, 2010

Last NPPES UpdateMarch 15, 2017

✔ NPI 1205140902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X

5501 WOODLAND AVE, Philadelphia, PA 19143

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Other Names 1

Doing Business AsGpha Woodland Ave. Behavioral Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D2086611

Gpha, Inc Dental And Behavioral Healthcare · Philadelphia, PA

Active · expires Nov 6, 2026

CLIA Number39D2086611

Laboratory TypeFederal Qualified Hlth

Certificate Effective DateNovember 7, 2024

Certificate Expiration DateNovember 6, 2026

Laboratory DirectorDr. Monica L. Mallory-Whitmore

Laboratory Phone(215) 724-4700

Laboratory LocationGpha, Inc Dental And Behavioral Healthcare5501 Woodland Avenue, Philadelphia, PA 19143

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MASATO CHARLES SUGENO PHARMD

Pharmacist