RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC (NPI# 1720429608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720429608 |
| Entity Type | Organization |
| Organization Name | RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC |
| Practice Address |
6001 Colgate St Philadelphia PA 19111-6004 |
| Mailing Address |
512 Hamilton St Ste 200 Allentown PA 18101-1505 |
| Practice Telephone | 2672536588 |
| Mailing Telephone | 2672536588 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. ERIK EDGARDO JUAREZ MENDEZ (CEO) |
| Authorized Official Telephone | 2672536588 |
| 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) |
Ambulatory Health Care Facilities |
| Street Address |
6001 COLGATE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| 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 |
| 1659658938 | Family Behavioral and Mental Health Center, Inc. | Clinic/Center | 3040 Kensington Ave, Philadelphia, PA 19134-2416 | 2011-11-14 |
| 1154604007 | Keystone Psychological Associates | Clinic/Center | 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 | 2011-09-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC.
| 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.