WEST HAVEN
NPI 1053466086
Clinic/Center - Adult Mental Health in Philadelphia, PA
- Organization
- Clinic/Center
- Adult Mental Health
About WEST HAVEN
This page provides the complete NPI Profile along with additional information for West Haven, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1053466086 assigned on January 2007. The practitioner's primary taxonomy code is 261QM0850X with license number 122660 (PA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is West Haven. The authorized official of this NPI record is Mr. Richard J Cohen Phd (President)
- NPI
- 1053466086 Verify this NPI
- Provider Legal Name
- PHILADELPHIA HEALTH MANAGEMENT CORP
- Other Organization Name
- WEST HAVEN
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 111 N 49TH ST 2ND FLOOR PHILADELPHIA, PA 19139
- Location Phone
- (215) 662-8881
- Location Fax
- (215) 662-8887
- Mailing Address
- 260 S BROAD STREET PHILADELPHIA, PA 19102
- Mailing Phone
- (215) 985-2500
- Mailing Fax
- (215) 731-2049
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 10-01-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- 122660
- License State
- PA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000016640041 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
PHILADELPHIA, PA 19139
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053466086, enumerated as an "organization" on January 23, 2007.
The provider is located at 111 N 49TH ST 2ND FLOOR PHILADELPHIA, PA 19139 and the phone number is (215) 662-8881.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
