WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM


Address: 7900 Lindberg Blvd, Philadelphia, PA 19153
Phone: 2155968100

WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM (NPI# 1053620583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053620583
Entity Type Organization
Organization Name WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM
Other Organization Name THE CONSORTIUM INC
Practice Address 7900 Lindberg Blvd
Philadelphia
PA 19153
Mailing Address 3801 Market St
Suite 201
Philadelphia
PA 19104-3153
Practice Telephone 2155968100
Mailing Telephone 2155968100
Enumeration Date 2010-10-01
Last Update Date 2010-10-01
Authorized Official Name JOHN WHITE JR. (CEO)
Authorized Official Telephone 2155968100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 195570 PA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
The Consortium Inc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801105325 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 5205 Webster St, Philadelphia, PA 19143-2626 2010-10-01
1447569967 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 7100 Lindberg Blvd, Philadelphia, PA 19153 2010-10-01
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

Office Location

Street Address 7900 LINDBERG BLVD
City PHILADELPHIA
State PA
Zip Code 19153

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457892283 Evangelical Alumni Inc. Community Based Residential Treatment Facility, Mental Illness 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 2017-03-13
1932645108 Elwyn Community Based Residential Treatment Facility, Mental Illness 5218 Germantown Ave, Philadelphia, PA 19144-2347 2017-01-12
1639536949 Path (people Acting To Help) Community Based Residential Treatment Facility, Mental Illness 8429 Castor Ave, Philadelphia, PA 19152-1903 2016-01-19
1821453150 Community Outreach Program Community Based Residential Treatment Facility, Mental Illness 1311 N 52nd St, Philadelphia, PA 19131-4412 2015-12-31
1154786564 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 716 Rhawn St, Philadelphia, PA 19111-2554 2015-12-30
1427413863 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 6818 Ditman St, Philadelphia, PA 19135-2204 2015-12-30
1124483557 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 920 Griffith St, Philadelphia, PA 19111-2615 2015-12-30
1922463355 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 2340 Benson St # 1, Philadelphia, PA 19152-2504 2015-12-30
1104281831 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 3131 Willits Rd, Philadelphia, PA 19114-3816 2015-12-23
1063895571 James Nathaniel Community Based Residential Treatment Facility, Mental Illness 9 W Phil Ellena St, Philadelphia, PA 19119-2725 2015-07-01
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Competitor

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City PHILADELPHIA
Zip Code 19153

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Dataset Information

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.

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