KIRKBRIDE CENTER
NPI 1851390561
Psychiatric Unit in Philadelphia, PA

Active since July 15, 2005CLIA 39D1004492 · Waiver
111 N 49TH ST, PHILADELPHIA, PA 19139(215) 471-2488 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kirkbride Center NPPES

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

KIRKBRIDE CENTER (NPI 1851390561) is a healthcare organization registered as a psychiatric unit in Philadelphia, Pennsylvania and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Rose S Diottavio, President, as its authorized official.

NPPES Registry Identity

NPI1851390561
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameCORECARE BEHAVIORAL HEALTH
Location Address111 N 49TH STPhiladelphia, PA 19139-2718
Mailing Address111 N 49th StPhiladelphia, PA 19139-2718 · (215) 471-2488
Organization SubpartNo
Authorized OfficialRose S DiottavioPresident · (215) 471-2853
Enumeration DateJuly 15, 2005
Last NPPES UpdateOctober 22, 2015
NPI 1851390561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
License Licensed in PA · 197910
Definition

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.

Also ListedRehabilitation UnitTaxonomy 273Y00000X · License 807208 (PA)
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X · License 807208 (PA)
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
111 N 49TH ST, Philadelphia, PA 19139

Other Names 1

Doing Business AsKirkbride Center

Other Identifiers 2

Medicaid1007737600004PA
Medicare ID-Type Unspecified394007PA

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 of Waiver 39D1004492

Kirkbride Center · Philadelphia, PA
Active · expires Sep 29, 2026
CLIA Number39D1004492
Laboratory TypeHospital
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. Frederic J. Weber
Laboratory Phone(215) 471-2600
Laboratory LocationKirkbride Center111 North 49th Street, Philadelphia, PA 19139
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Residential Treatment Facility, Emotionally Disturbed Children
111 N 49TH ST
PHILADELPHIA, PA 19139
Clinic/Center (Adult Mental Health)
111 N 49TH ST, 2ND FLOOR
PHILADELPHIA, PA 19139
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 N 49TH ST, FHC FIRST FLOOR
PHILADELPHIA, PA 19139
Counselor (Professional)
111 N 49TH ST
PHILADELPHIA, PA 19139
Psychiatry & Neurology (Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Psychiatry & Neurology (Addiction Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Counselor (Professional)
111 N 49TH ST, 1ST FLOOR
PHILADELPHIA, PA 19139
Social Worker (Clinical)
111 N 49TH ST
PHILADELPHIA, PA 19139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851390561, enumerated as an "organization" on July 15, 2005.

The provider is located at 111 N 49TH ST PHILADELPHIA, PA 19139 and the phone number is (215) 471-2488.

Psychiatric Unit with taxonomy code 273R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.