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NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI 1538218961


NPI Information

NPI: 1538218961
Provider Name: NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
7226 CASTOR AVE
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 742-7820
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NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION is a case manager care coordinator in Philadelphia, PA. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION NPI is 1538218961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7226 CASTOR AVE
PHILADELPHIA, PA
ZIP 19149-108
Phone: (215) 742-7820
Fax: (215) 742-7808

The provider's authorized official is Howard J Kaufman .
The authorized official title is Executive Director and has the following contact phone number (215) 831-2800.

The enumeration date for this NPI number is 1/8/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator188220PENNSYLVANIAYes

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 Other Provider Identifier Issuer
11000034170059MEDICAIDPENNSYLVANIA

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: 5/5/2024

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.