INTERCOMMUNITY ACTION, INC. (NPI# 1992353197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992353197 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC. |
| Practice Address |
4030 Brown St Philadelphia PA 19104-4844 |
| Mailing Address |
6012 Ridge Ave Philadelphia PA 19128-1643 |
| Practice Telephone | 2154870904 |
| Mailing Telephone | 2154870906 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Authorized Official Name | BRYAN COHEN (CEO/PRESIDENT) |
| Authorized Official Telephone | 2154870906 |
| 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) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209095 | Intercommunity Action, Inc. | Community/Behavioral Health | 67 E Bringhurst St, John Wister Elementary School, Philadelphia, PA 19144-2338 | 2014-01-23 |
| 1033541818 | Intercommunity Action, Inc. | Community/Behavioral Health | 6100 Stenton Ave, Philadelphia, PA 19138-1625 | 2013-08-05 |
| 1134341704 | Intercommunity Action, Inc. | Community/Behavioral Health | 339 Gates St, Philadelphia, PA 19128-4618 | 2007-05-03 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1023238128 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 3717 Manayunk Ave, Philadelphia, PA 19128-3704 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1124162201 | Intercommunity Action, Inc. | Community/Behavioral Health | 481 Krams Ave, Philadelphia, PA 19128-3311 | 2007-02-20 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1518136829 | Intercommunity Action, Inc. | Community/Behavioral Health | 6012 Ridge Ave, Philadelphia, PA 19128 | 2008-02-21 |
| 1932234416 | Intercommunity Action, Inc. | Case Management | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2007-02-23 |
| Street Address |
4030 BROWN ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114270618 | Public Health Management Corp | Clinic/Center | 4030 Brown St, Philadelphia, PA 19104-4844 | 2012-10-21 |
| 1013372655 | Education Plus, Inc. | Nurse Practitioner | 4030 Brown St, Philadelphia, PA 19104-4844 | 2015-12-28 |
| 1851708770 | Belmont Charter School | Nursing Care | 4030 Brown St, Philadelphia, PA 19104-4844 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 19104 |
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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.