Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

The Behavioral Wellness Center at Girard

Organization Psychiatry Physician · NPI 1417302993

The Behavioral Wellness Center at Girard is a Psychiatry Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
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Practice location Address checks out

4001 Ford Rd
Philadelphia, PA 19131-2833
Phone: (215) 877-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Public Health or Welfare Agency Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1417302993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xavier Bancroft — President & Ceo · (215) 787-9001
Other names The Behavioral Wellness Center At Mpac
NPI enumeratedMay 3, 2016
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address801 W Girard Ave, Attn Business Office, Philadelphia, PA 19122-4212

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