WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. (NPI# 1053438390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053438390 |
| Entity Type | Organization |
| Organization Name | WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. |
| Other Organization Name | THE CONSORTIUM INC. |
| Practice Address |
26 S 40th St Philadelphia PA 19104-3009 |
| Mailing Address |
3801 Market St Suite 201 Philadelphia PA 19104-3153 |
| Practice Telephone | 2155968300 |
| Practice Fax Number | 2153824405 |
| Mailing Telephone | 2155968100 |
| Mailing Fax Number | 2153824405 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN F WHITE JR. (PRESIDENT CEO) |
| Authorized Official Telephone | 2155968100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
128620 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007155230068 | 05 |
| Other Name | Type Code |
|---|---|
| The Consortium Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 2007-03-26 |
| 1386761971 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 5700 Willows Ave, Philadelphia, PA 19143-4517 | 2007-03-26 |
| 1609993096 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 1200 W Allegheny Ave, Philadelphia, PA 19133-1307 | 2007-03-23 |
| 1699892935 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 4300 Westminster Ave, Philadelphia, PA 19104-1308 | 2007-03-23 |
| 1588786487 | West Philadelphia Community Mh Consortium Inc. | Psychiatry & Neurology | 1801 Vine St, Philadelphia, PA 19103-1117 | 2007-04-04 |
| 1134249535 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-30 |
| 1952421356 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1225158660 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 26 S 40th St, Second Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1902926306 | West Philadelphia Community Mh Consortium Inc. | Psychologist | 1801 Vine St, Family Court, Philadelphia, PA 19103-1117 | 2007-03-30 |
| 1245350081 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-29 |
| Street Address |
26 S 40TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952421356 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1225158660 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 26 S 40th St, Second Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1598884082 | West Philadelphia Community Mh Consortium Inc. | Case Management | 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 | 2007-03-28 |
| 1790804284 | West Philadelphia Community Mh Consortium, Inc. | Clinic/Center | 26 S 40th St, Philadelphia, PA 19104-3009 | 2007-03-28 |
| 1124146287 | West Philadelphia Community Mh Consortium Inc.org | Clinic/Center | 26 S 40th St, Philadelphia, PA 19104-3009 | 2007-03-27 |
| 1205953858 | Pamela J Ralph | Psychiatry & Neurology | 26 S 40th St, 3rd Fl, Philadelphia, PA 19104-3009 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1962826149 | Citywide Community Counseling Services | Clinic/Center | 3125 Frankford Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1841614054 | Citywide Community Counseling Services | Clinic/Center | 5241 Jackson St, Philadelphia, PA 19124 | 2014-02-07 |
| 1174708606 | St. Francis-st. Joseph Homes for Children | Clinic/Center | 157 W Carpenter Avenue, Philadelphia, PA 19117 | 2008-01-03 |
| 1639299167 | Tree of Life Professional Behavorial Health Services | Clinic/Center | 7048 Castor Ave, Philadelphia, PA 19149-1713 | 2007-03-29 |
| 1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 2007-03-26 |
| 1316065949 | West Philadelphia Community Mh Consortium, Inc. | Clinic/Center | 4601 Market St, Suite 426, Philadelphia, PA 19139-4616 | 2007-03-26 |
| 1386761971 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 5700 Willows Ave, Philadelphia, PA 19143-4517 | 2007-03-26 |
| 1609993096 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 1200 W Allegheny Ave, Philadelphia, PA 19133-1307 | 2007-03-23 |
| 1699892935 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 4300 Westminster Ave, Philadelphia, PA 19104-1308 | 2007-03-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.