JOHN F KENNEDY COMMUNITY MHMR CENTER
NPI 1750404448
Community/Behavioral Health in Philadelphia, PA
NPI Status: Active since April 09, 2007
Contact Information
112 N BROAD ST
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 568-0860
Fax: (215) 568-0769
- Organization
- Community/Behavioral Health
About JOHN F KENNEDY COMMUNITY MHMR CENTER
This page provides the complete NPI Profile along with additional information for John F Kennedy Community Mhmr Center, a provider established in Philadelphia, Pennsylvania operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1750404448 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X with license number 121990 (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as John F Kennedy Community Mhmr Center. The authorized official of this NPI record is Alice G Young Mba (Vp Finance)
- NPI
- 1750404448
- Provider Legal Name
- CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.
- Other Organization Name
- JOHN F KENNEDY COMMUNITY MHMR CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 112 N BROAD ST PHILADELPHIA, PA 19102
- Location Phone
- (215) 568-0860
- Location Fax
- (215) 568-0769
- Mailing Address
- 112 N BROAD ST PHILADELPHIA, PA 19102
- Mailing Phone
- (215) 568-0860
- Mailing Fax
- (215) 568-0769
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2007
- Last Update Date
- 06-04-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 121990
- License State
- PA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000034530025 | MEDICAID (05) | PA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 0 | 4 | 4 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 0 | 8 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 0 + 8 + 4 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1750404448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
BARRI R ISKIN LCSW
Social Worker
(Clinical)
112 N BROAD ST
7TH FL
PHILADELPHIA, PA
ZIP 19102
LINDA MARY LIPSON MA, LPC
Counselor
112 N BROAD ST
PHILADELPHIA, PA
ZIP 19102
JOEL ESTERMAN MED
Psychologist
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MS. DEBORAH M KLAWITER BS
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MS. DONNA M STEWART BS
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MS. LAURIE HUME FLINT BA
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MRS. ROSA IVETTE VEGA
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MS. KARLYN SKIPWORTH PA-C, MA
Physician Assistant
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MR. MARCUS DON WILLIAMS RN
Registered Nurse
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
JUANITA MORALES
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MISS EMILY ENID ALICEA
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
DR. SANTIAGO HERNANDEZ PH.D.
Psychologist
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MR. BARRY WARREN ADAMS MSW
Social Worker
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MS. LETHA JEANETTE THORNTON BA
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MRS. SUSAN L MACIOS M.ED.
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MR. ANDREW D PALMATIER M.S.
Counselor
112 N BROAD ST
8TH FL
PHILADELPHIA, PA
ZIP 19102
MRS. TAMARA RAQUEL GRAY B.S.ED.
Counselor
112 N BROAD ST
PHILA, PA
ZIP 19102
MISS NINA MANA MAKHIJA M.A.
Counselor
112 N BROAD ST
PHILADELPHIA, PA
ZIP 19102
TERRELL M WRIGHT B.S.
Counselor
112 N BROAD ST
PHILA, PA
ZIP 19102
MR. JEFFREY TODD WIMBUSH
Counselor
112 N BROAD ST
PHILA, PA
ZIP 19102
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750404448, enumerated as an "organization" on April 09, 2007.
The provider is located at 112 N BROAD ST PHILADELPHIA, PA 19102 and the phone number is (215) 568-0860.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
