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NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
NPI 1457896565
Community Based Residential Treatment Facility, Mental Illness in Philadelphia, PA

Active since December 28, 2016
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-2800(215) 831-2929 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Community Center For Mental Health-mental Retardation Inc. NPPES

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

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC. (NPI 1457896565) is a healthcare organization registered as a community based residential treatment facility, mental illness in Philadelphia, Pennsylvania and active in the NPI registry since December 2016. The organization lists David Como, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457896565
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameNORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
Location Address4641 ROOSEVELT BLVDPhiladelphia, PA 19124-2343
Mailing Address4641 Roosevelt BlvdPhiladelphia, PA 19124-2343 · (215) 831-2800 · Fax (215) 831-2929
Phone(215) 831-2800
Fax(215) 831-2929
Organization SubpartNo
Authorized OfficialDavid ComoExecutive Director · (215) 831-2828
Enumeration DateDecember 28, 2016
✔ NPI 1457896565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4641 ROOSEVELT BLVD, Philadelphia, PA 19124
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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 Mental Health-Mental Retardation Inc.'s NPI number?

The NPI number for Northeast Community Center For Mental Health-Mental Retardation Inc. is 1457896565. It was assigned to this organization in the NPPES registry on December 28, 2016.

Where is Northeast Community Center For Mental Health-Mental Retardation Inc. located?

Northeast Community Center For Mental Health-Mental Retardation Inc. is located at 4641 Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-2800.

What is Northeast Community Center For Mental Health-Mental Retardation Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Northeast Community Center For Mental Health-Mental Retardation Inc. was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.