COMMUNITY COUNCIL FOR MH/MR, INC (NPI# 1023568375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023568375 |
| Entity Type | Organization |
| Organization Name | COMMUNITY COUNCIL FOR MH/MR, INC |
| Practice Address |
4900 Wyalusing Ave Philadelphia PA 19131-5127 |
| Practice Telephone | 2154737033 |
| Practice Fax Number | 2158275276 |
| Mailing Telephone | 2154737033 |
| Mailing Fax Number | 2158275276 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | REKIYA BELL (DIRECTOR OF BILLING/UM) |
| Authorized Official Telephone | 2159213713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891960530 | Community Council for Mh/mr, Inc | Community/Behavioral Health | 4301 Wayne Ave, Philadelphia, PA 19140-1717 | 2008-04-24 |
| Street Address |
4900 WYALUSING AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649377003 | Community Council for Mh/mr, Inc. | Clinic/Center | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2006-09-20 |
| 1861018699 | Gregory A Whetstone, Lsw I | Counselor | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2020-06-17 |
| 1144758558 | Community Council for Mental Health & Mr Inc | Community/Behavioral Health | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2017-05-30 |
| 1134550155 | Mary Rose Aldrich | Counselor | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2013-12-02 |
| 1467730671 | Community Council for Mental Health and Mental Retardation, Inc | Case Management | 4900 Wyalusing Ave, Main Building, Philadelphia, PA 19131-5127 | 2011-07-22 |
| 1477786259 | Eve Lynn Townsend | Social Worker | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2009-08-27 |
| 1285882779 | Jenine Maxida Cohen | Psychologist | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2008-09-09 |
| 1942460878 | Paul M. Schaefer | Psychiatry & Neurology | 4900 Wyalusing Ave, Community Council Health Systems, Philadelphia, PA 19131-5127 | 2008-06-13 |
| 1003073370 | Lorraine Braxton | Counselor | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2008-05-22 |
| 1386819324 | Community Council | Community/Behavioral Health | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| 1154786564 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 716 Rhawn St, Philadelphia, PA 19111-2554 | 2015-12-30 |
| 1427413863 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 6818 Ditman St, Philadelphia, PA 19135-2204 | 2015-12-30 |
| 1124483557 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 920 Griffith St, Philadelphia, PA 19111-2615 | 2015-12-30 |
| 1922463355 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 2340 Benson St # 1, Philadelphia, PA 19152-2504 | 2015-12-30 |
| 1104281831 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 3131 Willits Rd, Philadelphia, PA 19114-3816 | 2015-12-23 |
| 1063895571 | James Nathaniel | Community Based Residential Treatment Facility, Mental Illness | 9 W Phil Ellena St, Philadelphia, PA 19119-2725 | 2015-07-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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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.