WMC (NPI# 1659924678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659924678 |
| Entity Type | Organization |
| Organization Name | WMC |
| Practice Address |
4913 N Broad St Philadelphia PA 19141-2215 |
| Mailing Address |
6711 Old York Rd Ofc Philadelphia PA 19126-2841 |
| Practice Telephone | 2152763922 |
| Practice Fax Number | 2152768199 |
| Mailing Telephone | 2152763922 |
| Mailing Fax Number | 2152761249 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | TAKISA S GALLMAN (VP ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 2152763922 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE WEDGE MEDICAL CENTER, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1114144508 | Wmc | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2007-04-19 |
| 1821215203 | Wmc | Counselor | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2007-04-19 |
| 1063464055 | Wmc | Counselor | 6701 N Broad St, Philadelphia, PA 19126-2837 | 2006-05-17 |
| 1659993509 | Wmc | Community/Behavioral Health | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2020-05-14 |
| 1306468756 | Wmc | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2020-05-08 |
| 1275186207 | Wmc | Community/Behavioral Health | 1939 S Juniper St, Philadelphia, PA 19148-2217 | 2019-07-18 |
| 1871710269 | Wmc | Counselor | 3609 N Broad St, Philadelphia, PA 19140-4107 | 2007-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WMC | 1927 S. Rouse Ave., Bozeman, MT 59715 |
| New York State Corporations | WMC - NEW YORK, INC. | 100 Woods Rd Exec Offices C-i, Valhalla, Ny 10595 |
| Connecticut Business Registrations | WMC ACQUISITION II CORP. | 1784 New Britain Ave, Farmington, CT 06034 |
| New York State Corporations | WMC BUILD LLC | 159-50 97th Street, Howard Beach, New York 11414 |
| Washington State Corporations | WMC BUSINESS SERVICES LLC | 9013 Ne Highway 99, Suite I, Vancouver, WA 98665-8963 |
| Virginia Business Entities | WMC Chesapeake LLC | 212 Ellsworth St, Alexandria, Virginia 22314 |
| Colorado Business Entities | WMC Cheyenne, LLC | 4245 East 46th Ave., Denver, CO 80216 |
| Colorado Business Entities | WMC Colorado Springs II, LLC | 212 Ellsworth Street, Alexandria, VA 22314 |
| Colorado Business Entities | WMC Colorado Springs, LLC | 212 Ellsworth Street, Alexandria, VA 22324 |
| Virginia Business Entities | WMC Construction LLC | 6803 Lynbrook Dr, Springfield, Virginia 22150 |
| Street Address |
4913 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114144508 | Wmc | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2007-04-19 |
| 1437717410 | Okichie M Davis | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2019-06-04 |
| 1013347764 | Amy Marlow-macoy | Counselor | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2013-11-16 |
| 1538442710 | Stephen W Kong | Marriage & Family Therapist | 4913 N Broad St, Philadelphia, PA 19141-2215 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| 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 | 19141 |
Please comment or provide details below to improve the information on WMC.
| 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.