WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM (NPI# 1891014783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891014783 |
| Entity Type | Organization |
| Organization Name | WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM |
| Other Organization Name | THE CONSOTIUM INC. |
| Practice Address |
111 N 49th St Early Intervention Program Philadelphia PA 19139-2718 |
| Practice Telephone | 2155968100 |
| Practice Fax Number | 2153824405 |
| Mailing Telephone | 2155968100 |
| Mailing Fax Number | 2153824405 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| 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 | 252Y00000X | Early Intervention Provider Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007155230001 | 05 |
| Other Name | Type Code |
|---|---|
| The Consotium Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801105325 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 5205 Webster St, Philadelphia, PA 19143-2626 | 2010-10-01 |
| 1447569967 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7100 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1053620583 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7900 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| Street Address |
111 N 49TH ST EARLY INTERVENTION PROGRAM |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390561 | Corecare Behavioral Health | Rehabilitation, Substance Use Disorder Unit | 111 N 49th St, Philadelphia, PA 19139-2718 | 2005-07-15 |
| 1700360724 | Chinyere Adama Enyia | Nurse Practitioner | 111 N 49th St, Philadelphia, PA 19139-2718 | 2018-09-17 |
| 1790095933 | John David Nicholson Jr. | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2010-10-20 |
| 1275787731 | Bella Yampolsky | Physician Assistant | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-11-11 |
| 1558520841 | Corecare Behavioral Health Management, Inc. | Clinic/Center | 111 N 49th St, Philadelphia, PA 19139-2718 | 2008-06-03 |
| 1861676801 | Erica M Brendel | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-12-27 |
| 1891974424 | Stephen Karafelli | Social Worker | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-10-31 |
| 1699963736 | First Home Care Corporation | Community/Behavioral Health | 111 N 49th St, 1st Floor, Philadelphia, PA 19139-2718 | 2007-10-12 |
| 1477676328 | Fred Baurer | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-07 |
| 1841312196 | Kambeze Banan Etemad | Psychiatry & Neurology | 111 N 49th St, Philadelphia, PA 19139-2718 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426055 | Flourish Aba Therapy | Early Intervention Provider Agency | 13109 Bustleton Ave Apt A29, Philadelphia, PA 19116-1634 | 2020-10-29 |
| 1922616945 | Scholars Academy LLC | Early Intervention Provider Agency | 9315 Banes St Fl 2, Philadelphia, PA 19115-4201 | 2020-07-15 |
| 1306488432 | Jillian Hendricks | Early Intervention Provider Agency | 2017 S Colorado St, Philadelphia, PA 19145-2911 | 2019-10-09 |
| 1063982148 | Fishers of Knowledge Special Beginnings Inc | Early Intervention Provider Agency | 8305 - 15 Ridge Avenue, Philadelphia, PA 19128-2113 | 2018-11-30 |
| 1538641287 | Janice Kirkland | Early Intervention Provider Agency | 5603 Woodbine Ave, Philadelphia, PA 19131-1321 | 2018-08-29 |
| 1245712900 | Staci Harris | Early Intervention Provider Agency | 2308 W Montgomery Ave Apt B, Philadelphia, PA 19121-3021 | 2018-08-29 |
| 1992286611 | Lisa M Osborne | Early Intervention Provider Agency | 1119 E Chelten Ave, Philadelphia, PA 19138-1821 | 2018-08-22 |
| 1720568595 | Taylor Isley-clark | Early Intervention Provider Agency | 2834 N Van Pelt St, Philadelphia, PA 19132-2643 | 2018-08-20 |
| 1124474697 | Maple Leaf Behavioral Services | Early Intervention Provider Agency | 1332 Disston St, Philadelphia, PA 19111-4502 | 2016-05-13 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM.
| 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.