PHILADELPHIA HEALTH MANAGEMENT CORP (NPI# 1053466086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053466086 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA HEALTH MANAGEMENT CORP |
| Other Organization Name | WEST HAVEN |
| Practice Address |
111 N 49th St 2nd Floor Philadelphia PA 19139-2718 |
| Mailing Address |
260 S Broad Street Philadelphia PA 19102 |
| Practice Telephone | 2156628881 |
| Practice Fax Number | 2156628887 |
| Mailing Telephone | 2159852500 |
| Mailing Fax Number | 2157312049 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | MR. RICHARD J COHEN (PRESIDENT) |
| Authorized Official Telephone | 2159852501 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
122660 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Haven | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1831231612 | Philadelphia Health Management Corp | Community/Behavioral Health | 1200 Callowhill St, Suite 102, Philadelphia, PA 19123-3604 | 2007-02-12 |
| 1396883385 | Philadelphia Health Management Corp | Physical Therapist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-02 |
| 1669510657 | Philadelphia Health Management Corp | Case Manager/Care Coordinator | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-02 |
| 1407994684 | Philadelphia Health Management Corp | Case Manager/Care Coordinator | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-01 |
| Street Address |
111 N 49TH ST 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390561 | Corecare Behavioral Health | Rehabilitation, Substance Use Disorder Unit | 111 N 49th St, Philadelphia, PA 19139-2718 | 2005-07-15 |
| 1700360724 | Chinyere Adama Enyia | Nurse Practitioner | 111 N 49th St, Philadelphia, PA 19139-2718 | 2018-09-17 |
| 1790095933 | John David Nicholson Jr. | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2010-10-20 |
| 1891014783 | West Philadelphia Community Mental Health Consortium | Early Intervention Provider Agency | 111 N 49th St, Early Intervention Program, Philadelphia, PA 19139-2718 | 2010-05-18 |
| 1275787731 | Bella Yampolsky | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-11-11 |
| 1558520841 | Corecare Behavioral Health Management, Inc. | Clinic/Center | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-06-03 |
| 1861676801 | Erica M Brendel | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-12-27 |
| 1891974424 | Stephen Karafelli | Social Worker | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-10-31 |
| 1699963736 | First Home Care Corporation | Community/Behavioral Health | 111 N 49th St, 1st Floor, Philadelphia, PA 19139-2718 | 2007-10-12 |
| 1477676328 | Fred Baurer | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| 1952939068 | King Motivates, LLC | Clinic/Center | 1939 Page St, Philadelphia, PA 19121-1513 | 2020-04-01 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1235781220 | Annie Strout Counseling LLC | Clinic/Center | 1713 S Dorrance St, Philadelphia, PA 19145-2108 | 2019-07-10 |
| 1497170625 | Citywide Community Counseling Services | Clinic/Center | 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 | 2014-02-25 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1780008961 | Citywide Community Counseling Services | Clinic/Center | 137 E. Allegheny Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on PHILADELPHIA HEALTH MANAGEMENT CORP.
| 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.