WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. (NPI# 1841319332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841319332 |
| Entity Type | Organization |
| Organization Name | WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. |
| Other Organization Name | THE CONSORTIUM INC. |
| Practice Address |
5501 Chestnut St Philadelphia PA 19139-3205 |
| Mailing Address |
3751 Island Ave Ste 303 Philadelphia PA 19153-3237 |
| Practice Telephone | 2155968100 |
| Practice Fax Number | 2153824405 |
| Mailing Telephone | 2155968100 |
| Mailing Fax Number | 2153820511 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | MR. JOHN F. WHITE JR. (PRESIDENT CEO) |
| Authorized Official Telephone | 2155968100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
128620 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007155230113 | 05 | |
| PA | 1007155230080 | 05 |
| Other Name | Type Code |
|---|---|
| The Consortium Inc. | Doing Business As Name - Organization |
| THE CONSORTIUM, INC. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2821 Island Ave Ste 106-108, Philadelphia, PA 191532300 | 2155968100 | 2153820511 |
| 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 |
| Street Address |
5501 CHESTNUT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770517922 | Riverside Care, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2006-07-11 |
| 1962037937 | Reanna Noor | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2020-03-10 |
| 1740821222 | Susan Charlotte Poole | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-10-04 |
| 1265081780 | Rena Linden | Nurse Practitioner | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2019-09-06 |
| 1659768307 | Gwendolyn Deem Morris | Registered Nurse | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2015-04-21 |
| 1518221852 | William E Sautter | Social Worker | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2012-07-02 |
| 1225327018 | Northeast Treatment Centers.inc | Community/Behavioral Health | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2011-04-01 |
| 1932429610 | Roselyn Japes-shuebrook | Counselor | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-06-04 |
| 1407179260 | West Phila Mn Hlth Consortium, Inc | Clinic/Center | 5501 Chestnut St, Philadelphia, PA 19139-3205 | 2010-03-09 |
| 1790945848 | Sarah Elizabeth Johnson | Social Worker | 5501 Chestnut St, The Consortium, Philadelphia, PA 19139 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| 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 | 19139 |
Please comment or provide details below to improve the information on WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, 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.