1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Clinic Center
  6. NPI Profile

KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM
NPI 1922156314
Clinic/Center - Methadone in Philadelphia, PA

Active since January 08, 2007
136 DIAMOND ST, PHILADELPHIA, PA 19122(215) 426-8100(215) 965-2344 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kensington Hospital Outpatient Treatment Program NPPES

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

KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM (NPI 1922156314) is a healthcare organization registered as a methadone in Philadelphia, Pennsylvania and active in the NPI registry since January 2007. The organization lists Eileen Hause, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1922156314
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameKENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM
Location Address136 DIAMOND STPhiladelphia, PA 19122-1721
Mailing Address136 Diamond StPhiladelphia, PA 19122-1721 · (215) 426-8100 · Fax (215) 965-2344
Phone(215) 426-8100
Fax(215) 965-2344
Organization SubpartYesParent: Kensington Hospital
Authorized OfficialEileen HauseChief Executive Officer · (215) 426-8100
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1922156314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in PA · 807340
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
136 DIAMOND ST, Philadelphia, PA 19122
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007717290013PA

Other Providers at the Same Location NPPES 18

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

MRS. MYRYAN A. LIZAMA
Counselor (Mental Health)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (267) 271-6199
KENSINGTON HOSPITAL
General Acute Care Hospital
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KATHERYN KUCHARSKI
Social Worker
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Community/Behavioral Health
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
CHAUDHRY & ASSOCIATES, INC.
Dentist
136 DIAMOND ST, DENTAL CLINIC
PHILADELPHIA, PA 19122
Philadelphia County (215) 291-6004
KENSINGTON HOSPITAL
Clinical Medical Laboratory
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
Clinic/Center (Methadone)
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100
DR. JOSE BOSSBALY M.D.
Internal Medicine
136 DIAMOND ST
PHILADELPHIA, PA 19122
Philadelphia County (215) 426-8100

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 Kensington Hospital Outpatient Treatment Program's NPI number?

The NPI number for Kensington Hospital Outpatient Treatment Program is 1922156314. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Kensington Hospital Outpatient Treatment Program located?

Kensington Hospital Outpatient Treatment Program is located at 136 Diamond St, Philadelphia, PA 19122. The listed phone number is (215) 426-8100.

What is Kensington Hospital Outpatient Treatment Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Kensington Hospital Outpatient Treatment Program was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.