WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. (NPI# 1932228426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932228426 |
Entity Type | Organization |
Organization Name | WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. |
Other Organization Name | THE CONSORTIUM INC. |
Practice Address |
5501 Chestnut St Philadelphia PA 19139-3205 |
Mailing Address |
3801 Market St Suite 201 Philadelphia PA 19104-3153 |
Practice Telephone | 2155968100 |
Practice Fax Number | 2153824405 |
Mailing Telephone | 2155968100 |
Mailing Fax Number | 2153824405 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |
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 | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
128610 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007155230081 | 05 |
Other Name | Type Code |
---|---|
The Consortium Inc. | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528186087 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 | 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 |
1588786487 | West Philadelphia Community Mh Consortium Inc. | Psychiatry & Neurology | 1801 Vine St, Philadelphia, PA 19103-1117 | 2007-04-04 |
1134249535 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-30 |
1952421356 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
1225158660 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 26 S 40th St, Second Floor, Philadelphia, PA 19104-3009 | 2007-03-30 |
1902926306 | West Philadelphia Community Mh Consortium Inc. | Psychologist | 1801 Vine St, Family Court, Philadelphia, PA 19103-1117 | 2007-03-30 |
1245350081 | West Philadelphia Community Mh Consortium Inc. | Community/Behavioral Health | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-29 |
Street Address |
5501 CHESTNUT ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19139-3205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770517922 | Riverside Care, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2006-07-11 |
1962037937 | Reanna Noor | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2020-03-10 |
1740821222 | Susan Charlotte Poole | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-10-04 |
1265081780 | Rena Linden | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-09-06 |
1659768307 | Gwendolyn Deem Morris | Registered Nurse | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2015-04-21 |
1518221852 | William E Sautter | Social Worker | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2012-07-02 |
1225327018 | Northeast Treatment Centers.inc | Community/Behavioral Health | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2011-04-01 |
1932429610 | Roselyn Japes-shuebrook | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-06-04 |
1407179260 | West Phila Mn Hlth Consortium, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-03-09 |
1790945848 | Sarah Elizabeth Johnson | Social Worker | 5501 Chestnut St, The Consortium, Philadelphia, PA 19139 | 2008-06-12 |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1467073924 | Childfirst Services, Inc. | Clinic/Center | 2021 N 63rd St Ste 300, Philadelphia, PA 19151-2609 | 2020-05-06 |
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 | 19139 |
Please comment or provide details below to improve the information on WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC..
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.