Northeast Community Center For Mental Health & Mental Retardation in Philadelphia - Adolescent And Children Mental Health
Northeast Community Center For Mental Health & Mental Retardation - NPI 1699822668
Northeast Community Center For Mental Health & Mental Retardation is a Adolescent And Children Mental Health in Philadelphia, Pennsylvania. Northeast Community Center For Mental Health & Mental Retardation practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1699822668. The last update date is 2020-08-22.
Northeast Community Center For Mental Health & Mental Retardation's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158312800 and fax number 2158312929. The mailing address for Northeast Community Center For Mental Health & Mental Retardation is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Community Center For Mental Health & Mental Retardation |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2158312800 |
| Fax Number | 2158312929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Kaufman J Howard |
| Telephone Number | 2158312800 |
NPI Number Detail
| NPI Number | 1699822668 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242343 |
| Phone Number | 2158312800 |
| Fax Number | 2158312929 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 121890 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000034170032 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Northeast Community Center For Mental Health & Mental Retardation by the Centers for Medicare & Medicaid Services?
The Northeast Community Center For Mental Health & Mental Retardation has been issued the NPI (National Provider Identifier) 1699822668. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Northeast Community Center For Mental Health & Mental Retardation's facilities are situated?
The facilities of Northeast Community Center For Mental Health & Mental Retardation are physically located at the following address: 4641 Roosevelt Blvd, Philadelphia, PA, 191242343.
What is Northeast Community Center For Mental Health & Mental Retardation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northeast Community Center For Mental Health & Mental Retardation is Adolescent And Children Mental Health, and the taxonomy code that categorizes this field of expertise is 261Qm0855X.
On what date did the Northeast Community Center For Mental Health & Mental Retardation receive its 1699822668 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Community Center For Mental Health & Mental Retardation was assigned its 1699822668 by the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the Northeast Community Center For Mental Health & Mental Retardation's information last updated?
The Northeast Community Center For Mental Health & Mental Retardation's information was last updated on 2020-08-22.