Provider Type Icon

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM INC. NPI 1841319332


NPI Information

NPI: 1841319332
Provider Name: WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.

Doing Business As: THE CONSORTIUM INC.

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 596-8100
Get Directions

WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. is an adult mental health clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC. NPI is 1841319332. 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:

5501 CHESTNUT ST
PHILADELPHIA, PA
ZIP 19139-205
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 3/28/2007 and was last updated on 8/16/2019.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental Health128620PENNSYLVANIAYes

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
11007155230113MEDICAIDPENNSYLVANIA
21007155230080MEDICAIDPENNSYLVANIA

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.