NPIMap

Organization Active NPI

West Phila Community Mental Health Consortium, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1285099598
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
195570 Issued in PA
Legal business name
WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC
Practice address
5205 Webster St
Philadelphia, PA 19143-2626
Phone
(215) 596-8100
Fax
(215) 382-0511
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
John F. White Jr.
Title
President/Ceo
Phone
(215) 596-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 195570 PA Primary

Addresses

Primary practice location

5205 Webster St
Philadelphia, PA 19143-2626

Mailing address

3751 Island Ave
Suite 303
Philadelphia, PA 19153-3237
Phone (215) 596-8100

Other names 1

  • The Consortium, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Consortium Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

5205 Webster St
Philadelphia, PA 19143

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1285099598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 ISLAND AVE",
            "address_2": "SUITE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533237",
            "telephone_number": "215-596-8100",
            "fax_number": "215-382-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 WEBSTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191432626",
            "telephone_number": "215-596-8100",
            "fax_number": "215-382-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-596-8100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "195570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Consortium, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.