OrganizationActive
Wedge Medical Center, PC
NPI 1215176342 · Addiction (Substance Use Disorder) Counselor · Philadelphia, PA
Provider details
- NPI number
- 1215176342
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Takisa Gallman, Administrative Director(215) 276-3922
- License
- 807343 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4243 Frankford Avenue
Philadelphia, PA 19124
Phone: (215) 744-3600
Fax: (215) 744-1400
Street-level locationGet directions
Mailing address
6701 N Broad St
Philadelphia, PA 19126-2837
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.