JEWISH FAMILY & CHILDRENS SERV (NPI# 1639231012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639231012 |
| Entity Type | Organization |
| Organization Name | JEWISH FAMILY & CHILDRENS SERV |
| Other Organization Name | JEWISH FAMILY PSYCH SERVICES |
| Practice Address |
2100 Arch St 5th Fl Phila PA 19103-1300 |
| Mailing Address |
2100 Arch St 5th Floor Philadelphia PA 19103-1300 |
| Practice Telephone | 2672562115 |
| Mailing Telephone | 2672562115 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | MR. JOHN SAWYER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2672562115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | DPW PDA WAIVER | 1000008810019 | 01 |
| PA | 1000008810009 | 05 | |
| PA | DEPT OF PUBLIC WELFARE | 1000008810025 | 01 |
| Other Name | Type Code |
|---|---|
| Jewish Family Psych Services | Other Name - Individual/Organization |
| Street Address |
2100 ARCH ST 5TH FL |
| City | PHILA |
| State | PA |
| Zip Code | 19103-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619192572 | Lenore A Wasserman Scola | Social Worker | 2100 Arch St, 5th H, Phila, PA 19103-1300 | 2007-04-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1447498837 | Mother Care Inc. | Community/Behavioral Health | 6423 Clearview St, Phila, PA 19119-2041 | 2009-01-23 |
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1720122815 | Intercommunity Action Inc | Community/Behavioral Health | 4301 Wayne Ave, Steel School, Phila, PA 19140-1717 | 2007-02-20 |
| 1063556181 | Intercommunity Action, Inc | Community/Behavioral Health | 4667 Umbria St, Phila, PA 19127-1929 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1285778399 | Intercommunity Action, Inc | Community/Behavioral Health | 1526 Fairmount Ave, Phila, PA 19130-2910 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| Find all providers in PHILA | ||||
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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.