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NORTHEAST COMMUNITY CENTER FOR MH/MR NPI 1073925400


NPI Information

NPI: 1073925400
Provider Name: NORTHEAST COMMUNITY CENTER FOR MH/MR
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4641 ROOSEVELT BLVD
ORLEANS BLDG
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 831-2826
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NORTHEAST COMMUNITY CENTER FOR MH/MR is a counselor in Philadelphia, PA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. NORTHEAST COMMUNITY CENTER FOR MH/MR NPI is 1073925400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4641 ROOSEVELT BLVD
ORLEANS BLDG
PHILADELPHIA, PA
ZIP 19124-343
Phone: (215) 831-2826
Fax: (215) 831-2929

The provider's authorized official is Dennis Guscott .
The authorized official title is Mis Director and has the following contact phone number (215) 831-2826.

The enumeration date for this NPI number is 5/20/2014 and was last updated on 5/20/2014.


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
1101Y00000XCounselorYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.