INTERCOMMUNITY ACTION, INC. (NPI# 1518136829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518136829 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC. |
| Practice Address |
6012 Ridge Ave Philadelphia PA 19128 |
| Mailing Address |
6012 Ridge Ave Philadelphia PA 19128-1643 |
| Practice Telephone | 2154870906 |
| Practice Fax Number | 2154873716 |
| Mailing Telephone | 2154870906 |
| Mailing Fax Number | 2154873716 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | SHRONDA PETERSON (IT CONSULTANT) |
| Authorized Official Telephone | 2154870904 |
| 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 | 1000008360071 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209095 | Intercommunity Action, Inc. | Community/Behavioral Health | 67 E Bringhurst St, John Wister Elementary School, Philadelphia, PA 19144-2338 | 2014-01-23 |
| 1033541818 | Intercommunity Action, Inc. | Community/Behavioral Health | 6100 Stenton Ave, Philadelphia, PA 19138-1625 | 2013-08-05 |
| 1134341704 | Intercommunity Action, Inc. | Community/Behavioral Health | 339 Gates St, Philadelphia, PA 19128-4618 | 2007-05-03 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1023238128 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 3717 Manayunk Ave, Philadelphia, PA 19128-3704 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1124162201 | Intercommunity Action, Inc. | Community/Behavioral Health | 481 Krams Ave, Philadelphia, PA 19128-3311 | 2007-02-20 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1992353197 | Intercommunity Action, Inc. | Clinic/Center | 4030 Brown St, Philadelphia, PA 19104-4844 | 2019-08-30 |
| 1932234416 | Intercommunity Action, Inc. | Case Management | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2007-02-23 |
| Street Address |
6012 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942779426 | Donna Grace Kroh | Behavior Technician | 6012 Ridge Ave, Philadelphia, PA 19128-1697 | 2018-11-14 |
| 1598267999 | Chantel Pugh | Social Worker | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2018-03-02 |
| 1841791449 | Julia Dorosario Gomes | Counselor | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2018-02-28 |
| 1730680331 | Herbert Lex Shallcross Iv | Assistant Behavior Analyst | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2018-02-28 |
| 1639604671 | Kelsey Dailey | Student in an Organized Health Care Education/Training Program | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2017-04-27 |
| 1518491117 | Nora Brier | Student in an Organized Health Care Education/Training Program | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2017-04-20 |
| 1144658006 | Sarah Halpern | Marriage & Family Therapist | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2013-10-30 |
| 1245431790 | Simone Rubin | Social Worker | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2007-05-31 |
| 1457569980 | Rita Teresa Coyne | Social Worker | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2007-05-18 |
| 1730396409 | Marialisa Romasco | Social Worker | 6012 Ridge Ave, Philadelphia, PA 19128-1643 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| 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 | 19128 |
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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.