Interventive Care Crisis Management Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

102930 Issued in PA

Legal business name

INTERVENTIVE CARE CRISIS MANAGEMENT NETWORK

Practice address

3800 North Broad Street
Philadelphia, PA 19140

Phone

(215) 225-5566

Fax

(215) 949-3483

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dennis Yates

Title

President

Phone

(267) 994-7752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1013129709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N BROAD ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403610",
            "telephone_number": "215-225-5566",
            "fax_number": "215-949-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 NORTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19140",
            "telephone_number": "215-225-5566",
            "fax_number": "215-949-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIVE CARE CRISIS MANAGEMENT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-994-7752"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "102930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE MAID",
            "identifier": "0016910490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Mary Interrante
• Vincent Intersimone
• Interstate Health Care Services Inc
• Intervention Guidance Resources
• Intervention Guidance Resources
• Brianna Intili
• Victor Intintolo, LSW
• Intouch Medicalassociates Inc.
• Jessica Intravia, M.D.
• Gloria T Intriago, M.D

• Community/Behavioral Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.