GMC GOLDMAN CLINIC GOLDMAN IOP
NPI 1336350966
Clinic/Center - Methadone in Philadelphia, PA

NPI Status: Active since May 25, 2007

Contact Information

801 W GIRARD AVE
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 787-2000

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  • Organization
  • Clinic/Center
  • Methadone

About GMC GOLDMAN CLINIC GOLDMAN IOP

This page provides the complete NPI Profile along with additional information for Gmc Goldman Clinic Goldman Iop, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1336350966 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Gmc Goldman Clinic Goldman Iop. The authorized official of this NPI record is Ms. Gerri H Walker (Ceo)

NPI
1336350966
Provider Legal Name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Other Organization Name
GMC GOLDMAN CLINIC GOLDMAN IOP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
801 W GIRARD AVE PHILADELPHIA, PA 19122
Location Phone
(215) 787-2000
Mailing Address
801 W GIRARD AVE ATTN BUSINESS OFFICE PHILADELPHIA, PA 19122
Mailing Phone
(215) 787-2000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-25-2007
Last Update Date
08-03-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. GERRI H WALKER

Authorized Official Title
CEO
Authorized Official Phone
(215) 787-9001

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007276960111MEDICAID (05)PA 
1007276960014MEDICAID (05)PA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 21 times for 21 patients

Reviews for GMC GOLDMAN CLINIC GOLDMAN IOP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336350966
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366650912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 5 + 0 + 9 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1336350966 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114032786 KARRIEM LATEEF SALAAM MD
Individual
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1427182013 CHIOMA LINDA IHEAGWARA DO
Individual
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-4380
1619177961NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Clinic/Center801 W GIRARD AVE
PHILA, PA 19122
(215) 787-2387
1689903189ROOSEVELT EMERGENCY PHYSICIANS
Organization
General Acute Care Hospital801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-9000
1588977706NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Clinic/Center (Adult Mental Health)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2387
1235368887 BIANA LIFSCHITZ MD
Individual
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE SUITE 110
PHILADELPHIA, PA 19122
(215) 787-2388
1275534018 ILIA NIKHINSON MD
Individual
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1952779084 MARIAN HORNUNG QUAGLIA PA-C
Individual
Physician Assistant (Medical)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2084
1053312272 GIRISH SHAH MD
Individual
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2128
1518178144NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Rehabilitation, Substance Use Disorder Unit801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1194726323NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Psychiatry & Neurology (Psychiatry)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1164445128NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Psychologist801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1962613596NORTH PHILADELPHIA HEALTH SYSTEM
Organization
Clinic/Center (Adult Mental Health)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1326398496 MITRA YAZDI GILBERT PSY.D,, MS
Individual
Psychologist801 W GIRARD AVE STE#103
PHILADELPHIA, PA 19122
(215) 787-2599
1023218302THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization
Clinic/Center801 W GIRARD AVE
PHILA, PA 19122
(215) 787-2387
1053511329THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization
Clinic/Center (Adult Mental Health)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2387
1073713343THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-9000
1275252181DR. ALEXANDRA BRERETON PHD
Individual
Psychologist (Clinical)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000
1306975115THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization
Pharmacy (Institutional Pharmacy)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2460
1598798928THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization
Clinic/Center (Methadone)801 W GIRARD AVE
PHILADELPHIA, PA 19122
(215) 787-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336350966, enumerated in the NPI registry as an "organization" on May 25, 2007

The provider is located at 801 W Girard Ave Philadelphia, Pa 19122 and the phone number is (215) 787-2000

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.

This NPI record was last updated on May 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.