DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN (NPI# 1528171790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528171790 |
| Entity Type | Organization |
| Organization Name | DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN |
| Other Organization Name | DR WARREN E SMITH HEALTH CENTERS WES HEALTH CENTERS |
| Practice Address |
1315 Windrim Avenue Philadelphia PA 19141-2710 |
| Mailing Address |
1315 Windrim Avenue Dr Warren E Smith Health Centers Philadelphia PA 19141-2710 |
| Practice Telephone | 2154562611 |
| Practice Fax Number | 2154562729 |
| Mailing Telephone | 2154562611 |
| Mailing Fax Number | 2154562729 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH GLASS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2672560636 |
| Authorized Official Credential | PHD |
| 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) |
185300 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000028031004 | 05 | |
| PA | 1000028030022 | 05 | |
| PA | MAGELLAN BEHAV HEALTH | 1317149 | 01 |
| PA | 1000028030029 | 05 | |
| PA | 1000028030045 | 05 | |
| PA | 1000028030047 | 05 | |
| PA | AETNA US HEALTHCARE | 3136579 | 01 |
| PA | PERSONAL CHOICE | 0561531000 | 01 |
| PA | 1000028030027 | 05 |
| Other Name | Type Code |
|---|---|
| Dr Warren E Smith Health Centers WES Health Centers | Doing Business As Name - Organization |
| Street Address |
1315 WINDRIM AVENUE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784721 | Imani Y Lumumba | Counselor | 1315 Windrim Avenue, 2nd Fl. Aop6c, Philadelphia, PA 19144 | 2017-07-31 |
| 1881997039 | Nanette Stone | Counselor | 1315 Windrim Avenue, Philadelphia, PA 19141 | 2010-12-09 |
| 1558545251 | Philip B Gardner | Psychologist | 1315 Windrim Avenue, C/o Wes Health Systems, Philadelphia, PA 19141 | 2007-12-18 |
| 1356448898 | Timothy D Richner | Social Worker | 1315 Windrim Avenue, Philadelphia, PA 19141-2710 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| 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 | 19141 |
Please comment or provide details below to improve the information on DR WARREN E SMITH COMMUNITY MENTAL HEALTH MENTAL RETARDATION & SUBSTAN.
| 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.