MERAKEY CHILDRENS SERVICES (NPI# 1518124221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518124221 |
| Entity Type | Organization |
| Organization Name | MERAKEY CHILDRENS SERVICES |
| Other Organization Name | NHS CHILDREN'S REACH |
| Practice Address |
265 E Lehigh Ave Philadelphia PA 19125-1013 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2152735975 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2152735975 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| 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 | MEDICAID MCO PROVIDED NUMBER | 1007469130101 | 01 |
| Other Name | Type Code |
|---|---|
| NHS Children's Reach | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568685378 | Merakey Childrens Services | Community/Behavioral Health | 639 E Church Ln, Philadelphia, PA 19144-1411 | 2007-04-10 |
| 1255454138 | Merakey Childrens Services | Community/Behavioral Health | 314 E Wister St, Philadelphia, PA 19144-1829 | 2007-04-07 |
| 1508989534 | Merakey Childrens Services | Community/Behavioral Health | 1616 Gregg St, Philadelphia, PA 19115-4210 | 2007-04-06 |
| 1003939067 | Merakey Childrens Services | Case Management | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2007-04-06 |
| 1447266275 | Merakey Childrens Services | Clinic/Center | 620 Germantown Pike, Lafayette Hill, PA 19444-1810 | 2006-08-01 |
| 1578865580 | Merakey Childrens Services | Community/Behavioral Health | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2010-11-23 |
| 1861657629 | Merakey Childrens Services | Community/Behavioral Health | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2008-07-22 |
| 1619141066 | Merakey Childrens Services | Community/Behavioral Health | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2008-04-16 |
| 1891918249 | Merakey Childrens Services | Community/Behavioral Health | 1616 Gregg St, Philadelphia, PA 19115-4210 | 2007-04-11 |
| 1619190063 | Merakey Childrens Services | Community/Behavioral Health | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERAKEY CHILDRENS SERVICES | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 |
| Street Address |
265 E LEHIGH AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19125-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003939067 | Merakey Childrens Services | Case Management | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2007-04-06 |
| 1841856754 | Monie Fisher | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2019-05-15 |
| 1417467572 | Suzette Hunt | Psychologist | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2017-10-03 |
| 1255737342 | Lauren Fischer | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2014-11-17 |
| 1720493026 | Snezana Vujovic | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2014-06-25 |
| 1790112803 | Susan Shipley | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2013-10-03 |
| 1821421371 | Shareba Binta Waters | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2013-08-19 |
| 1720322324 | Louisa N. Obiesie | Counselor | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2012-11-20 |
| 1831499706 | Krystine Diane Carter | Psychiatry & Neurology | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2010-10-26 |
| 1073824017 | Mohammad Lawangeen Khan | Psychiatry & Neurology | 265 E Lehigh Ave, Philadelphia, PA 19125-1013 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241810 | Latiana Ridgell | Registered Nurse | 1080 N. Delaware Ave, Suite 300d, Phildelphia, PA 19125 | 2017-08-15 |
| 1659800175 | Michael William Pelekanos | Psychiatry & Neurology | 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 | 2017-06-08 |
| 1063940187 | Travis J Dichoso | Psychiatry & Neurology | 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2017-06-02 |
| 1891232419 | Kristin Marie Iannuzzelli | Counselor | 1114 Earl Street, Philadelphia, PA 19125 | 2017-01-20 |
| 1811440399 | Temple University Hospital | Psychiatric Hospital | 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 | 2016-08-01 |
| 1518343359 | Tamer Hassan Zayed Moustafa | Dentist | 100 E Lehigh Ave # Pm2, Philadelphia, PA 19125 | 2015-08-04 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
| 1518228543 | Kristen Kathleen Howland | Occupational Therapist | 404 East Flora St, Philadelphia, PA 19125 | 2012-06-06 |
| 1447539754 | Kiran Majeed | Psychiatry & Neurology | 100 E. Lehigh Aveune, Suite # 105, Philadelphia, PA 19125 | 2011-08-04 |
| Find all providers in zip 19125 | ||||
| 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 | 19125 |
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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.