NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. (NPI# 1902947211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902947211 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. |
| Practice Address |
2152 N Front St Philadelphia PA 19122-1705 |
| Mailing Address |
2030 W Tilghman St Suite 105b Allentown PA 18104-4354 |
| Practice Telephone | 4842219136 |
| Practice Fax Number | 4842219130 |
| Mailing Telephone | 4842219136 |
| Mailing Fax Number | 4842219130 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-11-09 |
| Authorized Official Name | MELISSA ANN CHLEBOWSKI (CEO) |
| Authorized Official Telephone | 4842219136 |
| 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) |
105610 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007295290002 | 05 | |
| PA | COMMUNITY BEHAVIORAL HEAL | 1007295290002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841331246 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 3803 N 5th St, Philadelphia, PA 19140-3337 | 2007-02-09 |
| 1043304199 | Northeast Community Mental Health Center, Inc. | Clinic/Center | 2927 N 5th St, 2nd Floor, Philadelphia, PA 19133-2800 | 2006-10-03 |
| Street Address |
2152 N FRONT ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831506765 | Marcos Romero Paulino | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2014-07-11 |
| 1386057958 | Carmen Olivo Quezada | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2014-06-11 |
| 1922424266 | Maria Joseline Nunez Frias | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2014-03-11 |
| 1578989026 | Carmen Rosario | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2014-03-07 |
| 1669807889 | Ysalda Camilo | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2013-09-06 |
| 1639504939 | Nilba Sanchez | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2013-09-05 |
| 1912284001 | Cynthia K Castillo | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2011-11-03 |
| 1346549318 | Arumugam Harshraj | Social Worker | 2152 N Front St, Philadelphia, PA 19122-1705 | 2011-03-16 |
| 1740585900 | Mercedes Paez | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2011-01-20 |
| 1578864161 | Roberto Cedano | Counselor | 2152 N Front St, Philadelphia, PA 19122-1705 | 2010-11-12 |
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|---|---|---|---|---|
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| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 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 |
| 1720429608 | Raices Pastoral Counseling and Human Development Center, Inc | Clinic/Center | 6001 Colgate St, Philadelphia, PA 19111-6004 | 2013-07-09 |
| 1659658938 | Family Behavioral and Mental Health Center, Inc. | Clinic/Center | 3040 Kensington Ave, Philadelphia, PA 19134-2416 | 2011-11-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
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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.