Imagine Medical Group, PA
NPI 1821731548 · Psychiatry Physician · Philadelphia, PA
Imagine Medical Group, PA is a Psychiatry Physician organization in Philadelphia, PA (NPI 1821731548).
Provider details
- NPI number
- 1821731548
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Wilson, President(814) 392-8679
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Innovatel Medical
Additional practice locations (3)
- 400 Renaissance Ctr Ste 2600Detroit, MI 48243-1599Phone: (313) 479-0497
- 1 Gateway Ctr Ste 2600Newark, NJ 07102-5323Phone: (267) 999-9534
- 2815 Elliott Ave Ste 100Seattle, WA 98121-2991Phone: (206) 316-1106
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2024-10-24
- Certified
- 2024-10-24
Frequently asked questions
- What is Imagine Medical Group, PA's NPI number?
- Imagine Medical Group, PA's National Provider Identifier (NPI) is 1821731548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imagine Medical Group, PA?
- Imagine Medical Group, PA is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Imagine Medical Group, PA located?
- Imagine Medical Group, PA's practice location on file with NPPES is 100 S Juniper St Fl 3, Philadelphia, PA 19107-1316.
- What is Imagine Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Imagine Medical Group, PA is (267) 999-9534.
- Who is the authorized official for Imagine Medical Group, PA?
- The authorized official listed on Imagine Medical Group, PA's NPPES record is Robert Wilson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imagine Medical Group, PA's NPI active?
- Yes — Imagine Medical Group, PA's NPI (1821731548) is active in the NPPES registry as of the last update on 2024-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.