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NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION
NPI 1972651248
Clinic/Center - Mental Health (Including Community Mental Health Center) in Philadelphia, PA

Active since January 05, 2007
4371 WALN ST, PHILADELPHIA, PA 19124(215) 831-2950(215) 831-2982 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Community Center For Mental Health & Mental Retardation NPPES

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

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION (NPI 1972651248) is a healthcare organization registered as a mental health (including community mental health center) in Philadelphia, Pennsylvania and active in the NPI registry since January 2007. The organization lists Howard J Kaufman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972651248
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH & MENTAL RETARDATION
Location Address4371 WALN STPhiladelphia, PA 19124-4010
Mailing Address4641 Roosevelt BlvdPhiladelphia, PA 19124-2343 · (215) 831-2800 · Fax (215) 831-2929
Phone(215) 831-2950
Fax(215) 831-2982
Organization SubpartNo
Authorized OfficialHoward J KaufmanExecutive Director · (215) 831-2800
Enumeration DateJanuary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972651248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in PA · 121920
4371 WALN ST, Philadelphia, PA 19124
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Other Identifiers 1

Medicaid1000034170040PA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION INC.
Clinic/Center (Adult Mental Health)
4371 WALN ST
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2826
MRS. AMANDA FALIVENE-ROCCO MA, LPC, CPRP
Counselor (Mental Health)
4371 WALN ST
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2950

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's NPI number?

The NPI number for Northeast Community Center For Mental Health & Mental Retardation is 1972651248. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Northeast Community Center For Mental Health & Mental Retardation located?

Northeast Community Center For Mental Health & Mental Retardation is located at 4371 Waln St, Philadelphia, PA 19124. The listed phone number is (215) 831-2950.

What is Northeast Community Center For Mental Health & Mental Retardation'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.

When was this NPI record last updated?

The NPPES record for Northeast Community Center For Mental Health & Mental Retardation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.