MERAKEY PHILADELPHIA (NPI# 1073636866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073636866 |
| Entity Type | Organization |
| Organization Name | MERAKEY PHILADELPHIA |
| Other Organization Name | NHS PHILADELPHIA |
| Practice Address |
27 E Mount Airy Ave Philadelphia PA 19119-1713 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2152735975 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2152735975 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000017350115 | 05 | |
| PA | 1000017350316 | 05 |
| Other Name | Type Code |
|---|---|
| NHS Philadelphia | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1811297922 | Merakey Philadelphia | Case Management | 27 East Mt. Airy Ave, Philadelphia, PA 19119 | 2010-10-25 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1447417902 | Merakey Philadelphia | Community/Behavioral Health | 235 W School House Ln, Philadelphia, PA 19144-3845 | 2008-05-21 |
| 1528262409 | Merakey Philadelphia | Community/Behavioral Health | 237 W School House Ln, Philadelphia, PA 19144-3845 | 2007-06-13 |
| 1326264995 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 4501 Fishers Ln, Philadelphia, PA 19124-3051 | 2007-04-18 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1972624393 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 6915 Germantown Ave, Philadelphia, PA 19119-2115 | 2007-04-03 |
| 1699200956 | Merakey Philadelphia | Community/Behavioral Health | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2017-04-25 |
| 1295117638 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2015-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERAKEY PHILADELPHIA | 620 Germantown Pike, Lafayette Hill, PA 19444-1810 |
| Street Address |
27 E MOUNT AIRY AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686608 | M Samson Seplow | Psychiatry & Neurology | 27 E Mount Airy Ave, Philadelphia, PA 19119 | 2007-03-14 |
| 1760030092 | Jennifer Lynne Bush | Psychologist | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2019-08-29 |
| 1649536657 | Daniel Deutsch | Marriage & Family Therapist | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2012-04-03 |
| 1669757860 | Patricia Sutterley | Social Worker | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2011-10-19 |
| 1578865580 | Merakey Childrens Services | Community/Behavioral Health | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2010-11-23 |
| 1578703617 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2009-03-03 |
| 1194998419 | Jessica Benesch Hazen | Student in an Organized Health Care Education/Training Program | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2008-04-08 |
| 1578761029 | Merakey Philadelphia | Psychoanalyst | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-07-06 |
| 1891913133 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-04-23 |
| 1700909595 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.