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WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI 1588786487


NPI Information

NPI: 1588786487
Provider Name: WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC.

Doing Business As: THE CONSORTIUM INC.

Classification: Psychiatry & Neurology - 2084F0202X
Entity Type: Organization

Specialization: Forensic Psychiatry

Address:
1801 VINE ST
PHILADELPHIA, PA
ZIP 19103
Phone: (215) 596-8100
Get Directions

WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. is a forensic psychiatry psychiatry neurology in Philadelphia, PA. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. WEST PHILADELPHIA COMMUNITY MH CONSORTIUM INC. NPI is 1588786487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Consortium Inc..

The provider's business location address is:

1801 VINE ST
PHILADELPHIA, PA
ZIP 19103-117
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 4/4/2007 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
12084F0202XPsychiatry & NeurologyForensic Psychiatry1007155230075PENNSYLVANIAYes

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
11007155230075MEDICAIDPENNSYLVANIA

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

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