OrganizationActive
Cosmological LLC
NPI 1639622681 · Emotionally Disturbed Childrens' Residential Treatment Facility · Philadelphia, PA
Provider details
- NPI number
- 1639622681
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Clyde Sanders, Owner(215) 771-1819
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5746 N 19th St
Philadelphia, PA 19141-1204
Phone: (215) 771-1819
Fax: (215) 277-7227
Street-level locationGet directions
Mailing address
5746 N 19th St
Philadelphia, PA 19141-1204
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2016-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.