Organization · Type 2 NPI

The Childrens Hospital of Philadelphia Practice Association

Child & Adolescent Psychiatry Physician · Philadelphia, PA

NPI number 1477645232 Active

Practice location

4601 Market St Fl 3
Philadelphia, PA 19139-4636

Fax (215) 590-7555

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

20 other providers at this address

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About NPI 1477645232

The Childrens Hospital of Philadelphia Practice Association's National Provider Identifier is 1477645232, issued on Sep 29, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 23, 2026.