INTEGRATED COMMUNITY HEALTH NETWORK, LLC
NPI 1417745423
Clinic/Center - Mental Health (Including Community Mental Health Center) in Philadelphia, PA

Active since April 29, 2025
6523 ELMWOOD AVE, PHILADELPHIA, PA 19142(610) 492-9193 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Integrated Community Health Network, Llc NPPES

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

INTEGRATED COMMUNITY HEALTH NETWORK, LLC (NPI 1417745423) is a healthcare organization registered as a mental health (including community mental health center) in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. The organization lists Joseph M Marrone, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417745423
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameINTEGRATED COMMUNITY HEALTH NETWORK, LLC
Location Address6523 ELMWOOD AVEPhiladelphia, PA 19142-2816
Mailing Address200 S Broad St Ste 610Philadelphia, PA 19102-3813 · (215) 732-6700 · Fax (215) 732-7660
Organization SubpartNo
Authorized OfficialJoseph M MarroneCeo · (215) 732-6700
Enumeration DateApril 29, 2025
Last NPPES UpdateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1417745423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
6523 ELMWOOD AVE, Philadelphia, PA 19142

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Community Health Network, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Community Health Network, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1104943802
5501 CHESTNUT ST
Philadelphia, PA 19139
(215) 495-6100
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1760904619
3737 MARKET ST 9TH FL
Philadelphia, PA 19104
(215) 662-8777
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrated Community Health Network, LLC's NPI number?

The NPI number for Integrated Community Health Network, LLC is 1417745423. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Integrated Community Health Network, LLC located?

Integrated Community Health Network, LLC is located at 6523 Elmwood Ave, Philadelphia, PA 19142. The listed phone number is (610) 492-9193.

What is Integrated Community Health Network, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Integrated Community Health Network, LLC enrolled in Medicare?

Yes. Integrated Community Health Network, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Community Health Network, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Community Health Network, LLC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Community Health Network, LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.