Provider Type Icon

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI 1245350081


NPI Information

NPI: 1245350081
Provider Name: WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.

Doing Business As: THE CONSORTIUM INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 596-8100
Get Directions

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. is a community behavioral health in Philadelphia, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI is 1245350081. The provider is registered as an organization entity type.
The provider Is Doing Business As The Consortium Inc..

The provider's business location address is:

451 S UNIVERSITY AVE
PHILADELPHIA, PA
ZIP 19104-544
Phone: (215) 596-8100
Fax: (215) 382-4405

The provider's authorized official is John F White .
The authorized official title is PRESIDENT CEOCeo and has the following contact phone number (215) 596-8100.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.


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
1251S00000XCommunity/Behavioral Health1007155230061PENNSYLVANIAYes

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
11007155230061MEDICAIDPENNSYLVANIA

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.