THE ANDANTE CENTER, INC (NPI# 1770806887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770806887 |
| Entity Type | Organization |
| Organization Name | THE ANDANTE CENTER, INC |
| Practice Address |
6404 Roosevelt Blvd Suite 1d Philadelphia PA 19149-2943 |
| Practice Telephone | 2157445505 |
| Practice Fax Number | 2157446374 |
| Mailing Telephone | 2157445505 |
| Mailing Fax Number | 2157446374 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | DR. ALEXANDER FINE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2157445505 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
807411 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE LICENSE | 807411 | 01 |
| Street Address |
6404 ROOSEVELT BLVD SUITE 1D |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19149-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810530 | Michael Rosenbaum | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2005-08-31 |
| 1740760818 | Ki Yoon Chung | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-08-17 |
| 1124512157 | Sasha Manchanda | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2018-06-22 |
| 1619258969 | Holly Do Nguyen | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2011-08-31 |
| 1639482011 | Casey Lauren Slaninabrooks | Registered Nurse | 6404 Roosevelt Blvd, Suite 1b, Philadelphia, PA 19149-2943 | 2010-07-14 |
| 1164750352 | Jacob Richard Orozco | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2009-11-26 |
| 1851550826 | Delligatti & Milewski Orthodontic Group, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-06-05 |
| 1023276656 | Pediatric Dental Associates Ltd | Dentist | 6404 Roosevelt Blvd, Lower Level, Philadelphia, PA 19149-2943 | 2008-05-30 |
| 1679749550 | Cichetti & Delligatti Orthodontics, P.C. | Dentist | 6404 Roosevelt Blvd, Philadelphia, PA 19149-2943 | 2008-05-01 |
| 1104097872 | Abolarin LLC | Dentist | 6404 Roosevelt Blvd, 2nd Floor, Philadelphia, PA 19149-2943 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418948 | Double Care Inc | Clinic/Center | 2900-14 Cottman Ave, Philadelphia, PA 19149 | 2019-07-16 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| 1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
| 1851950430 | Halo Staffing Agency, LLC | Home Health | 6401 Akron St., Philadelphia, PA 19149 | 2019-06-07 |
| 1518450626 | Family First Home Healthcare LLC | In Home Supportive Care | 1405 Alcott St, Philadelphia, PA 19149 | 2018-06-13 |
| 1992106926 | Elena Semprevivo | Dentist | 2107 Cottman Avenue, Philadelphia, PA 19149 | 2014-09-09 |
| 1518366988 | Abundant Life Home Health Services | Home Health | 6632-46 Bustleton Ave, Philadelphia, PA 19149 | 2014-08-21 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| 1790115509 | Norman Huynh | Physical Therapist | 6595 B East Roosevelt Boulevard, Philadelphia, PA 19149 | 2013-11-14 |
| Find all providers in zip 19149 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738360 | Hallie M. Kushner, Ph.d. P.C. | Clinic/Center | 1601 Walnut St Ste 706, Philadelphia, PA 19102-2904 | 2020-10-20 |
| 1114534328 | Virtual Sofa, LLC | Clinic/Center | 2005 Market St Ste 3140, Philadelphia, PA 19103-7001 | 2020-09-30 |
| 1942819958 | Shay Selden, Psyd, Med, LLC | Clinic/Center | 1411 S 15th St, Philadelphia, PA 19146-4803 | 2020-07-26 |
| 1952939068 | King Motivates, LLC | Clinic/Center | 1939 Page St, Philadelphia, PA 19121-1513 | 2020-04-01 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1235781220 | Annie Strout Counseling LLC | Clinic/Center | 1713 S Dorrance St, Philadelphia, PA 19145-2108 | 2019-07-10 |
| 1497170625 | Citywide Community Counseling Services | Clinic/Center | 537 E. Allegheny Avenue, Apt/suite, Philadelphia, PA 19134 | 2014-02-25 |
| 1598189771 | Citywide Community Counseling Services | Clinic/Center | 1346 Knorr St, Philadelphia, PA 19149 | 2014-02-10 |
| 1780008961 | Citywide Community Counseling Services | Clinic/Center | 137 E. Allegheny Avenue, Philadelphia, PA 19134 | 2014-02-10 |
| 1114341328 | Citywide Community Counseling Services | Clinic/Center | 5807 Bustleton Avenue, Philadelphia, PA 19149 | 2014-02-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19149 |
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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.