COMMUNITY INTEGRATED SERVICES NPI 1235738824

NPI Information

NPI: 1235738824
Provider Name: COMMUNITY INTEGRATED SERVICES
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
441 N 5TH ST STE 101
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 870-7667
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COMMUNITY INTEGRATED SERVICES is an intellectual and developmental disabilities in Philadelphia, PA. COMMUNITY INTEGRATED SERVICES NPI is 1235738824. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

441 N 5TH ST STE 101
PHILADELPHIA, PA
ZIP 19123-009
Phone: (215) 870-7667
Fax: (215) 238-7423

The provider's authorized official is Susan Schonfeld .
The authorized official title is Executive Director and has the following contact phone number (215) 870-7667.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 3/12/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TR0400X	Psychologist	Rehabilitation	No
2	225CX0006X	Rehabilitation Counselor	Orientation and Mobility Training Provider	No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	253Z00000X	In Home Supportive Care		No
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000000060	MEDICAID	DELAWARE
2	000000057	MEDICAID	DELAWARE
3	250604976	MEDICAID	DELAWARE

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: 4/28/2024

NPI Synchronization or Removal

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