Provider Type Icon

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM INC NPI 1285099598


NPI Information

NPI: 1285099598
Provider Name: WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC

Doing Business As: THE CONSORTIUM, INC.

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 39D0657848

Address:
5205 WEBSTER ST
PHILADELPHIA, PA
ZIP 19143
Phone: (215) 596-8100
Get Directions

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC is a community based residential treatment facility mental illness in Philadelphia, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC NPI is 1285099598. 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:

5205 WEBSTER ST
PHILADELPHIA, PA
ZIP 19143-626
Phone: (215) 596-8100
Fax: (215) 382-0511

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

The CLIA number assigned to this NPI record is 39D0657848 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2015 and was last updated on 12/31/2015.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness195570PENNSYLVANIAYes

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.