WMC (NPI# 1114144508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114144508 |
| Entity Type | Organization |
| Organization Name | WMC |
| Practice Address |
4913 N Broad St Philadelphia PA 19141-2215 |
| Practice Telephone | 2153293200 |
| Practice Fax Number | 2153293217 |
| Mailing Telephone | 2153293200 |
| Mailing Fax Number | 2153293217 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TAKISA S GALLMAN (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2152763922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
192780 | PA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
192780 | PA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
192780 | PA | Behavioral Health & Social Service Providers |
| X | 174400000X | Specialist | 192780 | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016804930005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1821215203 | Wmc | Counselor | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2007-04-19 |
| 1063464055 | Wmc | Counselor | 6701 N Broad St, Philadelphia, PA 19126-2837 | 2006-05-17 |
| 1659993509 | Wmc | Community/Behavioral Health | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2020-05-14 |
| 1306468756 | Wmc | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2020-05-08 |
| 1275186207 | Wmc | Community/Behavioral Health | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2019-07-18 |
| 1659924678 | Wmc | Community/Behavioral Health | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2019-07-18 |
| 1871710269 | Wmc | Counselor | 3609 N Broad St, Philadelphia, PA 19140-4107 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WMC | 1927 S. Rouse Ave., Bozeman, MT 59715 |
| New York State Corporations | WMC - NEW YORK, INC. | 100 Woods Rd Exec Offices C-i, Valhalla, Ny 10595 |
| Connecticut Business Registrations | WMC ACQUISITION II CORP. | 1784 New Britain Ave, Farmington, CT 06034 |
| New York State Corporations | WMC BUILD LLC | 159-50 97th Street, Howard Beach, New York 11414 |
| Washington State Corporations | WMC BUSINESS SERVICES LLC | 9013 Ne Highway 99, Suite I, Vancouver, WA 98665-8963 |
| Virginia Business Entities | WMC Chesapeake LLC | 212 Ellsworth St, Alexandria, Virginia 22314 |
| Colorado Business Entities | WMC Cheyenne, LLC | 4245 East 46th Ave., Denver, CO 80216 |
| Colorado Business Entities | WMC Colorado Springs II, LLC | 212 Ellsworth Street, Alexandria, VA 22314 |
| Colorado Business Entities | WMC Colorado Springs, LLC | 212 Ellsworth Street, Alexandria, VA 22324 |
| Virginia Business Entities | WMC Construction LLC | 6803 Lynbrook Dr, Springfield, Virginia 22150 |
| Street Address |
4913 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924678 | Wmc | Community/Behavioral Health | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2019-07-18 |
| 1437717410 | Okichie M Davis | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2019-06-04 |
| 1013347764 | Amy Marlow-macoy | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2013-11-16 |
| 1538442710 | Stephen W Kong | Marriage & Family Therapist | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311575 | Jennifer Victoria Hart | Counselor | 1644 W Champlost St, Philadelphia, PA 19141-1819 | 2020-09-19 |
| 1184233892 | Jordyn Occhipinti | Counselor | 429 Daly St, Philadelphia, PA 19148-5702 | 2020-07-28 |
| 1346868783 | Walter J Bullock | Counselor | 1831 Wakeling St, Philadelphia, PA 19124-2855 | 2020-07-13 |
| 1114544475 | Atiya Walida Pope | Counselor | 1027 Wagner Ave, Philadelphia, PA 19141-2927 | 2020-07-01 |
| 1639795560 | Caroline Maccherone | Counselor | 2207 E Norris St, Philadelphia, PA 19125-1905 | 2020-06-16 |
| 1093339988 | Brianna Bliss | Counselor | 836 S Howard St, Philadelphia, PA 19147-3436 | 2020-06-05 |
| 1497376578 | Frank Allen Edwards Jr. | Counselor | 2506 S Broad St, Philadelphia, PA 19145-4639 | 2020-04-30 |
| 1083234538 | David Sparrow Sr. | Counselor | 2929 Arch St Ste 1746, Philadelphia, PA 19104-2857 | 2020-04-24 |
| 1316567654 | Cheryl D Nelson | Counselor | 3300 Henry Ave Ste 302, Philadelphia, PA 19129-1314 | 2020-04-16 |
| 1952938912 | Marjola Como | Counselor | 108 Cliffwood Rd, Philadelphia, PA 19115-2715 | 2020-03-26 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on WMC.
| 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.