NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION (NPI# 1538218961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538218961 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION |
| Practice Address |
7226 Castor Ave Philadelphia PA 19149-1108 |
| Mailing Address |
4641 Roosevelt Blvd Philadelphia PA 19124-2343 |
| Practice Telephone | 2157427820 |
| Practice Fax Number | 2157427808 |
| Mailing Telephone | 2158312800 |
| Mailing Fax Number | 2158312929 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HOWARD J KAUFMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2158312800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 188220 | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000034170059 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972651248 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 4371 Waln St, Philadelphia, PA 19124-4010 | 2007-01-05 |
| 1699822668 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-04 |
| 1427110030 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 1527 Overington St, Philadelphia, PA 19124-5831 | 2006-12-14 |
| 1689723017 | Northeast Community Center for Mental Health & Mental Retardation | Psychologist | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| 1316096753 | Northeast Community Center for Mental Health & Mental Retardation | Physical Therapist | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| 1336296706 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-01-05 |
| 1306994694 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-01-05 |
| 1457408023 | Northeast Community Center for Mental Health & Mental Retardation | Case Management | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-01-04 |
| 1083761654 | Northeast Community Center for Mental Health & Mental Retardation | Case Management | 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343 | 2007-01-04 |
| 1346397957 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 1527 Overington St, Philadelphia, PA 19124-5831 | 2007-01-04 |
| Street Address |
7226 CASTOR AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699822668 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-04 |
| 1811403538 | Neena Mary Jacob | Social Worker | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2017-12-18 |
| 1225547193 | Alexandra Thieman | Social Worker | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2017-09-23 |
| 1194186411 | Lisa Vinnacombe | Social Worker | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2016-03-14 |
| 1992108583 | Laurie B. Heller | Social Worker | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2014-09-26 |
| 1689723017 | Northeast Community Center for Mental Health & Mental Retardation | Psychologist | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| 1316096753 | Northeast Community Center for Mental Health & Mental Retardation | Physical Therapist | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1497399323 | Deborah Calvert | Case Manager/Care Coordinator | 3550 Market St Fl 5, Philadelphia, PA 19104-3364 | 2019-11-04 |
| 1386298230 | Danielle Rose | Case Manager/Care Coordinator | 9586 James St # B, Philadelphia, PA 19114-3059 | 2019-07-30 |
| 1619521077 | Guiding Hands Support Coordination Services | Case Manager/Care Coordinator | 3538 Drumore Dr, Philadelphia, PA 19154-3912 | 2019-07-24 |
| 1285296806 | Rokyatou Sylla | Case Manager/Care Coordinator | 3019 S 68th St, Philadelphia, PA 19142-3321 | 2019-07-03 |
| 1578129516 | Peace and Serenity Support Services LLC | Case Manager/Care Coordinator | 4700 City Ave Apt 10305, Philadelphia, PA 19131-1572 | 2019-05-15 |
| 1750843462 | Sherri Lewis | Case Manager/Care Coordinator | 624 S Yewdall St, Philadelphia, PA 19143-2522 | 2019-04-02 |
| 1184181638 | Rafiah Williams | Case Manager/Care Coordinator | 2712b W York St, Philadelphia, PA 19132-3511 | 2019-02-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
Please comment or provide details below to improve the information on NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION.
| 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.