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WEST HAVEN
NPI 1053466086
Clinic/Center - Adult Mental Health in Philadelphia, PA

Active since January 23, 2007
111 N 49TH ST, 2ND FLOOR, PHILADELPHIA, PA 19139(215) 662-8881(215) 662-8887 Get Directions Write a Review

NPPES record last updated: October 1, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About West Haven NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST HAVEN (NPI 1053466086) is a healthcare organization registered as an adult mental health in Philadelphia, Pennsylvania and active in the NPI registry since January 2007. The organization lists Richard J Cohen, President, as its authorized official.

NPPES Registry Identity

NPI1053466086
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePHILADELPHIA HEALTH MANAGEMENT CORP
Location Address111 N 49TH ST, 2ND FLOORPhiladelphia, PA 19139-2718
Mailing Address260 S Broad StreetPhiladelphia, PA 19102 · (215) 985-2500 · Fax (215) 731-2049
Phone(215) 662-8881
Fax(215) 662-8887
Organization SubpartNo
Authorized OfficialRichard J CohenPresident · (215) 985-2501
Enumeration DateJanuary 23, 2007
Last NPPES UpdateOctober 1, 2010
✔ NPI 1053466086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in PA · 122660
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
111 N 49TH ST, Philadelphia, PA 19139
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Other Names 1

Other NameWest Haven

Other Identifiers 1

Medicare ID-Type Unspecified1000016640041

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMANTHA MEGAN WYCKOFF MD
Psychiatry & Neurology (Addiction Medicine)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2600
CHARLES WALKER
Licensed Practical Nurse
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2866
ALLISON BOATRIGHT DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2600
ERICA M BRENDEL MD PC
Psychiatry & Neurology (Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-1576
MS. BELLA YAMPOLSKY PA-C
Physician Assistant (Medical)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2131
MERCEDES JULIA DETTRA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2600
IONA BARGE
Nurse Practitioner (Psychiatric/Mental Health)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (214) 471-2600
CHALA SARGENT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 N 49TH ST, FHC FIRST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philadelphia Health Management Corp's NPI number?

The NPI number for Philadelphia Health Management Corp is 1053466086. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is also known as West Haven.

Where is Philadelphia Health Management Corp located?

Philadelphia Health Management Corp is located at 111 N 49th St 2nd Floor, Philadelphia, PA 19139. The listed phone number is (215) 662-8881.

What is Philadelphia Health Management Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Philadelphia Health Management Corp was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.