NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION (NPI# 1699822668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699822668 |
| 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 | 2157427810 |
| Practice Fax Number | 2157427017 |
| Mailing Telephone | 2158312800 |
| Mailing Fax Number | 2158312929 |
| Enumeration Date | 2007-01-04 |
| 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 | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
121890 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000034170032 | 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 |
| 1427110030 | Northeast Community Center for Mental Health & Mental Retardation | Clinic/Center | 1527 Overington St, Philadelphia, PA 19124-5831 | 2006-12-14 |
| 1538218961 | Northeast Community Center for Mental Health & Mental Retardation | Case Manager/Care Coordinator | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1538218961 | Northeast Community Center for Mental Health & Mental Retardation | Case Manager/Care Coordinator | 7226 Castor Ave, Philadelphia, PA 19149-1108 | 2007-01-08 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860350 | Aba for Winners Inc. | Clinic/Center | 954 Belmont Ave, Philadelphia, PA 19104-1261 | 2020-04-20 |
| 1962826149 | Citywide Community Counseling Services | Clinic/Center | 3125 Frankford Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1841614054 | Citywide Community Counseling Services | Clinic/Center | 5241 Jackson St, Philadelphia, PA 19124 | 2014-02-07 |
| 1174708606 | St. Francis-st. Joseph Homes for Children | Clinic/Center | 157 W Carpenter Avenue, Philadelphia, PA 19117 | 2008-01-03 |
| 1639299167 | Tree of Life Professional Behavorial Health Services | Clinic/Center | 7048 Castor Ave, Philadelphia, PA 19149-1713 | 2007-03-29 |
| 1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 2007-03-26 |
| 1316065949 | West Philadelphia Community Mh Consortium, Inc. | Clinic/Center | 4601 Market St, Suite 426, Philadelphia, PA 19139-4616 | 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 |
| 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.