Pmhcc CTT Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251203882 Issued in PA

Legal business name

PMHCC CTT INC

Practice address

520 N Columbus Blvd
4D
Philadelphia, PA 19123-4226

Phone

(215) 923-8042

Fax

(215) 923-8064

NPI assigned

Dec 12, 2006

Reactivated

Jun 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth J Culnan

Title

Executive Director

Phone

(215) 923-8042

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1013077551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N COLUMBUS BLVD",
            "address_2": "4D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234226",
            "telephone_number": "215-923-8042",
            "fax_number": "215-923-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N COLUMBUS BLVD",
            "address_2": "4D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234226",
            "telephone_number": "215-923-8042",
            "fax_number": "215-923-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMHCC CTT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-17",
        "deactivation_date": "2008-06-03",
        "reactivation_date": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CULNAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-923-8042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "251203882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.