Organization · Type 2 NPI

Tower Drexel Academic Medical Group LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA

NPI number 1003459702 Active

Practice location

4700 Wissahickon Ave Ste C102
Philadelphia, PA 19144-4248

Call (610) 743-6049 Map

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice locations

1427 Vine St Fl 8, Philadelphia, PA 19102-1040 · (267) 507-6581
1427 Vine St Fl 1, Philadelphia, PA 19102-1031 · (267) 507-6581

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Social Worker	104100000X	None listed
Psychiatry Physician	2084P0800X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Philadelphia

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NPI record

NPI: 1003459702
Entity type: Organization (Type 2)
Issued: Oct 25, 2019
Last updated: Jun 2, 2026
Status: Active

Other names

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Psychiatry Tower Health Medical Group Wissahickon Avenue · doing business as

Authorized official

Charles Michael Valentino
VP of Revenue Integrity
(484) 628-9380

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003459702

Tower Drexel Academic Medical Group LLC's National Provider Identifier is 1003459702, issued on Oct 25, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 2, 2026.