EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA (NPI# 1073086963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073086963 |
Entity Type | Organization |
Organization Name | EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA |
Practice Address |
3975 Conshohocken Ave Philadelphia PA 19131-5426 |
Practice Telephone | 2672926012 |
Practice Fax Number | 2158798424 |
Mailing Telephone | 2672926012 |
Mailing Fax Number | 2158798424 |
Enumeration Date | 2019-01-03 |
Last Update Date | 2019-01-03 |
Authorized Official Name | MARCY AMARNEK (DATABASE ADMINISTRATOR) |
Authorized Official Telephone | 2672926012 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
3975 CONSHOHOCKEN AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19131-5426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952444366 | Easter Seals of Southeastern Pennsylvania | Local Education Agency (LEA) | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2007-02-15 |
1730643396 | Kristin Kremer | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2019-01-29 |
1265989669 | Julie Goldstein | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2016-09-02 |
1538552682 | Brittany Grady | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2015-03-13 |
1144643453 | Luanne Suplick | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2014-01-23 |
1225465685 | Megan Stabler | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-10-01 |
1730513219 | Jeanette Catherine Mangano | Physical Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-09-03 |
1649618257 | Krista Perry | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-06-06 |
1629318522 | Bryna Dworetsky | Speech-Language Pathologist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2013-03-01 |
1215272877 | Donna L Sassaman | Occupational Therapist | 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 | 2012-12-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
Find all providers in zip 19131 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19131 |
Please comment or provide details below to improve the information on EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA.
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.