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WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM NPI 1891014783


NPI Information

NPI: 1891014783
Provider Name: WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM

Doing Business As: THE CONSOTIUM INC.

Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Organization
Address:
111 N 49TH ST
EARLY INTERVENTION PROGRAM
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 596-8100
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WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM is an early intervention provider agency in Philadelphia, PA. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM NPI is 1891014783. The provider is registered as an organization entity type.
The provider Is Doing Business As The Consotium Inc..

The provider's business location address is:

111 N 49TH ST
EARLY INTERVENTION PROGRAM
PHILADELPHIA, PA
ZIP 19139-718
Phone: (215) 596-8100
Fax: (215) 382-4405

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 enumeration date for this NPI number is 5/18/2010 and was last updated on 5/18/2010.


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
1252Y00000XEarly Intervention Provider AgencyYes

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
11007155230001MEDICAIDPENNSYLVANIA

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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