NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1043304199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043304199 |
Entity Type | Organization |
Organization Name | NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. |
Practice Address |
2927 N 5th St 2nd Floor Philadelphia PA 19133-2800 |
Mailing Address |
2030 W Tilghman St Suite 105b Allentown PA 18104-4354 |
Practice Telephone | 2152914357 |
Practice Fax Number | 4842219136 |
Mailing Telephone | 4842219136 |
Mailing Fax Number | 4842219130 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-11-09 |
Authorized Official Name | MELISSA 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 | COMMUNITY BEHAVIORAL HEAL | 1007295290004 | 01 |
PA | 1007295290004 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841331246 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-02-09 |
1902947211 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 2152 N Front St, Philadelphia, PA 19122-1705 | 2007-02-09 |
Street Address |
2927 N 5TH ST 2ND FLOOR |
City | PHILADELPHIA |
State | PA |
Zip Code | 19133-2800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396127627 | Dulce Silvestre De La Cruz | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2015-06-23 |
1114321114 | Manuella Arroyo Young | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-10-20 |
1356744627 | Jose Lopez | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-10-01 |
1306250022 | Orlando Calizan Severino | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-06-20 |
1619391257 | Clara Soliz Garcia | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-02-18 |
1679997217 | Alipia Tapia De Cabrera | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2014-02-18 |
1154758803 | Yenny Cristina Lora Abreau | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
1376970020 | Gina Echeverry | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
1801223557 | Juan F Fabian Carreras | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
1326475088 | Edin Augusto Vasquez | Counselor | 2927 N 5th St, Philadelphia, PA 19133-2800 | 2013-09-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
Find all providers in zip 19133 |
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 | 19133 |
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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.