INTERCOMMUNITY ACTION, INC (NPI# 1285778399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285778399 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC |
| Practice Address |
1526 Fairmount Ave Phila PA 19130-2910 |
| Mailing Address |
6012 Ridge Ave Phila PA 19128-1643 |
| Practice Telephone | 2154871330 |
| Mailing Telephone | 2154870906 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DAVID BOLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2154870906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000008360085 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1023153616 | Intercommunity Action, Inc | Community/Behavioral Health | 1822 W Butler St, Philadelphia, PA 19140 | 2007-02-21 |
| 1790820405 | Intercommunity Action, Inc | Community/Behavioral Health | 1801 W Pike St, Gillespie Middle School, Philadelphia, PA 19140-3401 | 2007-02-20 |
| 1063556181 | Intercommunity Action, Inc | Community/Behavioral Health | 4667 Umbria St, Phila, PA 19127-1929 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| 1578608014 | Intercommunity Action, Inc | Community/Behavioral Health | 6122 Ridge Ave, Phila, PA 19128-1603 | 2007-02-21 |
| 1508901125 | Intercommunity Action, Inc | Case Management | 6122 Ridge Ave, Phila, PA 19128-1603 | 2007-02-21 |
| Street Address |
1526 FAIRMOUNT AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19130-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| 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 |
|---|---|---|---|---|
| 1447498837 | Mother Care Inc. | Community/Behavioral Health | 6423 Clearview St, Phila, PA 19119-2041 | 2009-01-23 |
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1720122815 | Intercommunity Action Inc | Community/Behavioral Health | 4301 Wayne Ave, Steel School, Phila, PA 19140-1717 | 2007-02-20 |
| 1063556181 | Intercommunity Action, Inc | Community/Behavioral Health | 4667 Umbria St, Phila, PA 19127-1929 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| 1548538747 | Pmhc | Community/Behavioral Health | 1230 Summer St, Phila, PA 19107 | 2011-12-02 |
| Find all providers in PHILA | ||||
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| 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.