COMMUNITY COUNCIL FOR MH/MR, INC. (NPI# 1649377003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649377003 |
| 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 | 2154735405 |
| Mailing Telephone | 2154737033 |
| Mailing Fax Number | 2154735405 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EARLE BRADFORD (CEO) |
| Authorized Official Telephone | 2154737033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
121630 | PA | Ambulatory Health Care Facilities |
| Street Address |
4900 WYALUSING AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023568375 | Community Council for Mh/mr, Inc | Community Based Residential Treatment Facility, Mental Illness | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2016-10-11 |
| 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 | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1285699686 | Delaware Valley Community Health, Inc. | Clinic/Center | 1412-22 Fairmount Avenue, Philadelphia, PA 19130-2908 | 2006-04-19 |
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| 1205960887 | Bilibottoms, Inc | Clinic/Center | 867 Fishburn Rd, Hershey, PA 17033-2015 | 2007-03-15 |
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| 1982212510 | Saint Joseph Clinic | Clinic/Center | 41 W 1st St, Everett, PA 15537-1103 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| 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.