WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. (NPI# 1588786487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588786487 |
| Entity Type | Organization |
| Organization Name | WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. |
| Other Organization Name | THE CONSORTIUM INC. |
| Practice Address |
1801 Vine St Philadelphia PA 19103-1117 |
| Mailing Address |
3801 Market St Suite 201 Philadelphia PA 19104-3153 |
| Practice Telephone | 2155968100 |
| Practice Fax Number | 2153824405 |
| Mailing Telephone | 2155968100 |
| Mailing Fax Number | 2153824405 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN F. WHITE JR. (PRESIDENT CEO) |
| Authorized Official Telephone | 2155968100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
1007155230075 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007155230075 | 05 |
| Other Name | Type Code |
|---|---|
| The Consortium Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 2007-03-26 |
| 1386761971 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 5700 Willows Ave, Philadelphia, PA 19143-4517 | 2007-03-26 |
| 1609993096 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 1200 W Allegheny Ave, Philadelphia, PA 19133-1307 | 2007-03-23 |
| 1699892935 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 4300 Westminster Ave, Philadelphia, PA 19104-1308 | 2007-03-23 |
| 1134249535 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-30 |
| 1952421356 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1225158660 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 26 S 40th St, Second Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
| 1902926306 | West Philadelphia Community Mh Consortium Inc. | Psychologist | 1801 Vine St, Family Court, Philadelphia, PA 19103-1117 | 2007-03-30 |
| 1245350081 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-29 |
| 1174643910 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 4601 Market St, Suite 426, Philadelphia, PA 19139-4616 | 2007-03-29 |
| Street Address |
1801 VINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225184468 | Cornelius Furgueson | Clinical Neuropsychologist | 1801 Vine St, Room 149-mg, Philadelphia, PA 19103-1117 | 2007-01-27 |
| 1952729725 | Barry Zakireh | Psychologist | 1801 Vine St, Room 101, Philadelphia, PA 19103-1117 | 2014-03-31 |
| 1902926306 | West Philadelphia Community Mh Consortium Inc. | Psychologist | 1801 Vine St, Family Court, Philadelphia, PA 19103-1117 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831310853 | Robert Harry Hall | Psychiatry & Neurology | 1225 Vine St, Third Floor, Philadelphia, PA 19107 | 2007-05-01 |
| 1083771588 | Robert Vincent Desilverio | Psychiatry & Neurology | 1700 Benjamin Franklin Pkwy, Suite 2109, Philadelphia, PA 19103-2735 | 2007-01-03 |
| 1669467692 | Stephen Charles Padnes | Psychiatry & Neurology | 1326 Spruce St, Suite 501, Philadelphia, PA 19107-5826 | 2005-09-15 |
| 1063783249 | John Sebastian O'brien II | Psychiatry & Neurology | 2001 Hamilton St, Suite 1515, Philadelphia, PA 19130-4201 | 2012-01-20 |
| 1306163043 | Richard Frederick Limoges, Md, Ltd | Psychiatry & Neurology | 822 Pine St, St. Regis Court, Suite 1b, Philadelphia, PA 19107-6187 | 2010-04-20 |
| 1124262530 | Robert M. Toborowsky | Psychiatry & Neurology | 1616 Walnut St, Suite 1116, Philadelphia, PA 19103-5313 | 2009-04-29 |
| 1598929689 | Yong-tong Li | Psychiatry & Neurology | 245 S 8th St, Philadelphia, PA 19106-3520 | 2008-07-17 |
| 1659469492 | Richard Frederick Limoges | Psychiatry & Neurology | 822 Pine St, 1-b, Philadelphia, PA 19107-6187 | 2006-10-10 |
| 1326131699 | Babatunde Abayomi Adetunji | Psychiatry & Neurology | 1616 Walnut St, Philadelphia, PA 19103-5313 | 2006-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841604238 | Maria Lapchenko | Psychiatry & Neurology | New Beginnings/natale North, 1001 Sterigere Street, Norristown, PA 19401 | 2014-06-13 |
| 1174866800 | Ayesha K Ashai | Psychiatry & Neurology | 900 State St Ste 203b, Erie, PA 16501-1426 | 2013-04-01 |
| 1457516874 | Louis Senese Martone | Psychiatry & Neurology | 1378 Freeport Rd Ste 1-ar, Pittsburgh, PA 15238-3135 | 2008-07-24 |
| 1184885055 | Ingrid Kathleen Renberg | Psychiatry & Neurology | 5115 E Trindle Rd, Mechanicsburg, PA 17050-3742 | 2008-06-23 |
| 1144433285 | Robert Hugh Davis | Psychiatry & Neurology | 6125 Stephens Xing, Mechanicsburg, PA 17050-2371 | 2007-05-07 |
| 1447318407 | Pogos Hagop Voskanian | Psychiatry & Neurology | 1889 Nicholas Dr, Huntingdon Valley, PA 19006-7928 | 2006-12-04 |
| 1386662609 | Joseph A Buzogany | Psychiatry & Neurology | 1109 Blackthorne Dr, Jeannette, PA 15644-4740 | 2006-07-17 |
| 1326078155 | Barbara Beadles | Psychiatry & Neurology | 7100 Card Ln, Pittsburgh, PA 15208-2744 | 2006-07-04 |
| 1033151543 | John Samuel Rozel | Psychiatry & Neurology | 333 N Braddock Ave, Pittsburgh, PA 15208-2512 | 2006-06-11 |
| 1558316174 | Kenneth Zemanek | Psychiatry & Neurology | 1251 S Cedar Crest Blvd Ste 202a, Allentown, PA 18103-6214 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19103 |
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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.