NORTHEAST COMMUNITY MENTAL HEALTH CENTER INC. NPI 1902947211

NPI Information

NPI: 1902947211
Provider Name: NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2152 N FRONT ST
PHILADELPHIA, PA
ZIP 19122
Phone: (484) 221-9136
Get Directions

NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Philadelphia, PA. NORTHEAST COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1902947211. The provider is registered as an organization entity type.

The provider's business location address is:

2152 N FRONT ST
PHILADELPHIA, PA
ZIP 19122-705
Phone: (484) 221-9136
Fax: (484) 221-9130

The provider's authorized official is Melissa Ann Chlebowski .
The authorized official title is Ceo and has the following contact phone number (484) 221-9136.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 11/9/2007.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	105610	PENNSYLVANIA	Yes

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
1	1007295290002	MEDICAID	PENNSYLVANIA
2	1007295290002	OTHER	PENNSYLVANIA	COMMUNITY BEHAVIORAL HEAL
3	047340	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »