NORTHEAST COMMUNITY CENTER FOR MH/MR
NPI 1336418573
Early Intervention Provider Agency in Philadelphia, PA

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

The NPI number for Northeast Community Center For Mh/Mr is 1336418573. It was assigned to this organization in the NPPES registry on December 16, 2011.

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

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

Active since December 16, 2011

4641 ROOSEVELT BLVD, ORLEANS BUILDING, PHILADELPHIA, PA 19124(215) 831-2800 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Community Center For Mh/mr NPPES

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

NORTHEAST COMMUNITY CENTER FOR MH/MR (NPI 1336418573) is a healthcare organization registered as an early intervention provider agency in Philadelphia, Pennsylvania and active in the NPI registry since December 2011. The organization lists Howard Kaufman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336418573

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameNORTHEAST COMMUNITY CENTER FOR MH/MR

Location Address4641 ROOSEVELT BLVD, ORLEANS BUILDINGPhiladelphia, PA 19124-2343

Mailing Address4641 Roosevelt Blvd, Orleans BuildingPhiladelphia, PA 19124-2343

Phone(215) 831-2800

Organization SubpartNo

Authorized OfficialHoward KaufmanExecutive Director · (215) 831-2800

Enumeration DateDecember 16, 2011

✔ NPI 1336418573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

Definition

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.

4641 ROOSEVELT BLVD, Philadelphia, PA 19124

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Other Identifiers 1

Medicaid1000034170068PA

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.

ADAM LEVINE LCSW

Social Worker

4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2899

FRIENDS BEHAVIORAL HEALTH SYSTEM, LP

Psychiatric Hospital

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-4600

PAUL BALLAS

Psychiatry & Neurology (Psychiatry)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-7935

COURTNEY DOUDS LSW, MED

Social Worker

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2860

MR. JAMIYLAH SIKA BURNS PHYSICAL THERAPIST

Physical Therapist (Pediatrics)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 742-7820

CHRISTEN JOESELL YASSIN

Social Worker

4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2836

MRS. MARIANN MONTELEONE RN

Registered Nurse (Psychiatric/Mental Health)

4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-2964

DR. MITZIE L GRANT PHD.

Clinical Neuropsychologist

4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124

Philadelphia County (215) 831-4811

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 Northeast Community Center For Mh/Mr's NPI number?

The NPI number for Northeast Community Center For Mh/Mr is 1336418573. It was assigned to this organization in the NPPES registry on December 16, 2011.

Where is Northeast Community Center For Mh/Mr located?

Northeast Community Center For Mh/Mr is located at 4641 Roosevelt Blvd Orleans Building, Philadelphia, PA 19124. The listed phone number is (215) 831-2800.

What is Northeast Community Center For Mh/Mr's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

When was this NPI record last updated?

The NPPES record for Northeast Community Center For Mh/Mr was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.