JENNIFER CASSISSE


Address: 5650 Sprague St, Philadelphia, PA 19138-1744
Phone: 2159515689

JENNIFER CASSISSE (NPI# 1437660917) 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) 1437660917
Entity Type Individual
Full Name JENNIFER CASSISSE
Practice Address 5650 Sprague St
Philadelphia
PA 19138-1744
Mailing Address 8940 Krewstown Rd
Philadelphia
PA 19115-4561
Practice Telephone 2159515689
Enumeration Date 2017-10-24
Last Update Date 2017-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 5650 SPRAGUE ST
City PHILADELPHIA
State PA
Zip Code 19138-1744

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912418450 Kevin Scott Community/Behavioral Health 5650 Sprague St, Philadelphia, PA 19138-1744 2017-10-23
1437640778 Natalie Marie Saez Counselor 5650 Sprague St, Philadelphia, PA 19138-1744 2018-05-22
1285145722 Niesha Gwendolyn Pitts Community/Behavioral Health 5650 Sprague St, Philadelphia, PA 19138-1744 2017-10-23
1053822643 Martina Mobley-altice Community/Behavioral Health 5650 Sprague St, Philadelphia, PA 19138-1744 2017-10-23

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1194275313 William Gary George Jr. Marriage & Family Therapist 7101 N 20th St., Phila, PA 19138 2016-10-12
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1093153785 Northwest Medical & Rehabilitation Center PC Internal Medicine 6315 Stenton Ave, Philadelphia, PA 19138 2013-06-05
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1588848477 Tasha Carol Smith Licensed Practical Nurse 6947 Cedarpark Avenue, Phiadelphia, PA 19138 2007-12-27
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19138

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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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