NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION, INC
NPI 1528476603
Community/Behavioral Health in Philadelphia, PA

Q: What is Northeast Community Center For Mental Health & Mental Retardation, Inc's specialty?

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

Active since August 01, 2014

4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-2800(215) 831-2929 Get Directions Write a Review

NPPES record last updated: August 1, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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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 1528476603) is a healthcare organization registered as a community/behavioral health in Philadelphia, Pennsylvania and active in the NPI registry since August 2014. The organization lists David Como, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1528476603

Entity TypeOrganization

Primary Taxonomy251S00000X

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) 831-2800

Enumeration DateAugust 1, 2014

✔ NPI 1528476603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in PA · 189100

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.

4641 ROOSEVELT BLVD, Philadelphia, PA 19124

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Other Identifiers 1

Medicaid1000034170077PA

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 1528476603. It was assigned to this organization in the NPPES registry on August 1, 2014.

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/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Northeast Community Center For Mental Health & Mental Retardation, Inc was last updated on August 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.