NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1841331246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841331246 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. |
| Practice Address |
3803 N 5th St Philadelphia PA 19140-3337 |
| Mailing Address |
2030 W Tilghman St Suite 105b Allentown PA 18104-4354 |
| Practice Telephone | 4842219136 |
| Practice Fax Number | 4842219130 |
| Mailing Telephone | 4842219136 |
| Mailing Fax Number | 4842219130 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MELISSA ANN CHLEBOWSKI (CEO) |
| Authorized Official Telephone | 4842219136 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
105610 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007295290001 | 05 | |
| PA | COMMUNITY BEHAVIORAL HEAL | 1007295290001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902947211 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 2152 N Front St, Philadelphia, PA 19122-1705 | 2007-02-09 |
| 1043304199 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 2927 N 5th St, 2nd Floor, Philadelphia, PA 19133-2800 | 2006-10-03 |
| Street Address |
3803 N 5TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19140-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215316963 | Julia Bello | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2015-05-28 |
| 1093131120 | Paul Diaz | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2014-03-13 |
| 1851536387 | Iionka Y Aybar | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-12-12 |
| 1457520207 | Edwin Garcia | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1386813137 | Tania Natera | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1265601009 | Lilly Florez | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2008-02-26 |
| 1063692564 | Melissa Kahane | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-13 |
| 1083894562 | Aura Lopez | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-13 |
| 1093995573 | Jose Bautista | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-13 |
| 1851571475 | Fracisco Mella | Counselor | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1760002000 | Spilove Philadelphia, LLC | Clinic/Center | 1601 Walnut St Ste 1007, Philadelphia, PA 19102-2906 | 2020-04-16 |
| 1144856915 | Text and Online Counseling | Clinic/Center | 3900 City Ave Apt M802, Philadelphia, PA 19131-5701 | 2020-03-12 |
| 1750926028 | Forward Psychotherapy, LLC | Clinic/Center | 100 S Broad St Ste 920, Philadelphia, PA 19110-1016 | 2019-11-11 |
| 1184279598 | Patricia Ventura Lcsw | Clinic/Center | 255 S 17th St Ste 1601, Philadelphia, PA 19103-6216 | 2019-08-03 |
| 1568932085 | Well Tied Knot LLC | Clinic/Center | 6703 Germantown Ave # 210-3, Philadelphia, PA 19119-2109 | 2018-11-27 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1346621448 | Belmont Behavioral Hospital, LLC | Clinic/Center | 11600 Caroline Rd, Philadelphia, PA 19154-2110 | 2015-06-15 |
| 1720429608 | Raices Pastoral Counseling and Human Development Center, Inc | Clinic/Center | 6001 Colgate St, Philadelphia, PA 19111-6004 | 2013-07-09 |
| 1659658938 | Family Behavioral and Mental Health Center, Inc. | Clinic/Center | 3040 Kensington Ave, Philadelphia, PA 19134-2416 | 2011-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19140 |
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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.