WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.


Address: 451 S University Ave, Philadelphia, PA 19104-4544
Phone: 2155968100

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. (NPI# 1669599973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669599973
Entity Type Organization
Organization Name WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.
Other Organization Name THE CONSORTIUM INC.
Practice Address 451 S University Ave
Philadelphia
PA 19104-4544
Mailing Address 3801 Market St
Suite 200
Philadelphia
PA 19104-3153
Practice Telephone 2155968100
Practice Fax Number 2153824405
Mailing Telephone 2155968100
Mailing Fax Number 2153824405
Enumeration Date 2007-03-23
Last Update Date 2020-08-22
Authorized Official Name MR. JOHN F WHITE JR. (PRESIDENT CEO)
Authorized Official Telephone 2155968100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
1007155230047 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007155230047 05

Other Provider/Organization Names

Other Name Type Code
The Consortium Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528186087 West Philadelphia Community Mh Consortium Inc. Clinic/Center 2501 S 63rd St, Thomas Morton Elementary School, Philadelphia, PA 19142-3101 2007-03-26
1386761971 West Philadelphia Community Mh Consortium Inc. Clinic/Center 5700 Willows Ave, Philadelphia, PA 19143-4517 2007-03-26
1609993096 West Philadelphia Community Mh Consortium Inc. Clinic/Center 1200 W Allegheny Ave, Philadelphia, PA 19133-1307 2007-03-23
1699892935 West Philadelphia Community Mh Consortium Inc. Clinic/Center 4300 Westminster Ave, Philadelphia, PA 19104-1308 2007-03-23
1588786487 West Philadelphia Community Mh Consortium Inc. Psychiatry & Neurology 1801 Vine St, Philadelphia, PA 19103-1117 2007-04-04
1134249535 West Philadelphia Community Mh Consortium Inc. Clinic/Center 451 S University Ave, Philadelphia, PA 19104-4544 2007-03-30
1952421356 West Philadelphia Community Mh Consortium Inc. Clinic/Center 26 S 40th St, Third Floor, Philadelphia, PA 19104-3009 2007-03-30
1225158660 West Philadelphia Community Mh Consortium Inc. Community/Behavioral Health 26 S 40th St, Second Floor, Philadelphia, PA 19104-3009 2007-03-30
1902926306 West Philadelphia Community Mh Consortium Inc. Psychologist 1801 Vine St, Family Court, Philadelphia, PA 19103-1117 2007-03-30
1245350081 West Philadelphia Community Mh Consortium Inc. Community/Behavioral Health 451 S University Ave, Philadelphia, PA 19104-4544 2007-03-29

Office Location

Street Address 451 S UNIVERSITY AVE
City PHILADELPHIA
State PA
Zip Code 19104-4544

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194757989 West Phila Community Mental Health Consortium, Inc. Counselor 451 S University Ave, Philadelphia, PA 19104-4544 2006-07-06
1548449085 West Philadelphia Community Mental Health Consortium Inc. Community/Behavioral Health 451 S University Ave, Philadelphia, PA 19104-4544 2007-11-01
1134249535 West Philadelphia Community Mh Consortium Inc. Clinic/Center 451 S University Ave, Philadelphia, PA 19104-4544 2007-03-30
1245350081 West Philadelphia Community Mh Consortium Inc. Community/Behavioral Health 451 S University Ave, Philadelphia, PA 19104-4544 2007-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851745566 Kensington Hospital Outpatient Treatment Program Clinic/Center 2100 N Front St, Philadelphia, PA 19122-1705 2016-04-19
1184016651 Thw Group LLC Clinic/Center 7900 Frankford Ave, Philadelphia, PA 19136-3041 2015-02-20
1487796249 Jewish Employment & Vocational Services Clinic/Center 5820 Old York Rd, Philadelphia, PA 19141-2506 2007-02-12
1356860050 Merakey Recovery Services Clinic/Center 801 W Girard Ave, Philadelphia, PA 19122-4212 2017-09-13
1336302017 Kensington Hospital- Intensive Outpatient Program Clinic/Center 136 Diamond St, Philadelphia, PA 19122-1721 2008-07-03
1962680751 Northeast Treatment Centers. Inc. Clinic/Center 499 N 5th St, Suite D-e, Philadelphia, PA 19123-4005 2008-02-05
1336350966 North Philadelphia Health System Clinic/Center 801 W Girard Ave, Philadelphia, PA 19122-4212 2007-05-25
1992824312 Thomas Jefferson University Clinic/Center 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 2007-03-28
1922156314 Kensington Hospital Outpatient Treatment Program Clinic/Center 136 Diamond St, Philadelphia, PA 19122-1721 2007-01-08
1598798928 North Philadelphia Health System Clinic/Center 801 W Girard Ave, Philadelphia, PA 19122-4212 2006-07-09
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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