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NORTHEAST COMMUNITY MENTAL HEALTH CENTER INC. NPI 1043304199


NPI Information

NPI: 1043304199
Provider Name: NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2927 N 5TH ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19133
Phone: (215) 291-4357
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NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Philadelphia, PA. NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1043304199. The provider is registered as an organization entity type.

The provider's business location address is:

2927 N 5TH ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19133-800
Phone: (215) 291-4357
Fax: (484) 221-9136

The provider's authorized official is Melissa Chlebowski .
The authorized official title is Ceo and has the following contact phone number (484) 221-9136.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)105610PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1047340MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21007295290004OTHERPENNSYLVANIACOMMUNITY BEHAVIORAL HEAL
31007295290004MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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