COMMUNITY COUNCIL FOR MH/MR - NPI 1104008911 - Community/Behavioral Health in Philadelphia, PA

Q: What is Community Council For Mh/Mr's NPI number?

The NPI number for Community Council For Mh/Mr is 1104008911. It was assigned to this organization in the NPPES registry on December 4, 2007.

Q: What is Community Council For Mh/Mr's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Community Council For Mh/mr NPPES

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

COMMUNITY COUNCIL FOR MH/MR (NPI 1104008911) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since December 2007. The organization lists James Paige, Chief Information Officer, as its authorized official.

NPPES Registry Identity

NPI1104008911

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCOMMUNITY COUNCIL FOR MH/MR

Location Address4900 WYALUSING AVEPhiladelphia, PA 19131-5127

Mailing Address4900 Wyalusing AvePhiladelphia, PA 19131-5127 · (215) 473-7033 · Fax (215) 933-6926

Phone(215) 473-7033

Fax(215) 933-6926

Organization SubpartNo

Authorized OfficialJames PaigeChief Information Officer · (215) 473-7033

Enumeration DateDecember 4, 2007

Last NPPES UpdateMarch 14, 20162 updates tracked since enumeration

✔ NPI 1104008911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in PA · 132640

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4900 WYALUSING AVE, Philadelphia, PA 19131

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Other Identifiers 2

Medicaid1000049601019PA

Medicare PIN096047PA

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.

LORRAINE BRAXTON

Counselor (Mental Health)