Organization Active NPI

Citizen'S Acting Together Can Help, Inc.

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1396715009
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
191020 Issued in PA
Legal business name
CITIZEN'S ACTING TOGETHER CAN HELP, INC.
Practice address
1400 Reed St
Philadelphia, PA 19146-4823
Phone
(215) 755-0500
Fax
(215) 755-3561
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Mr. James Kennedy
Title
Cfo
Phone
(215) 875-2183

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 191020 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 123980 PA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 187880 PA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 191020 PA
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 191020 PA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 191020 PA
Case Management Agency 251B00000X PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 191020 PA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 123980 PA
Adult Mental Health Clinic/Center 261QM0850X 191020 PA Primary
Adult Mental Health Clinic/Center 261QM0850X 123980 PA

Addresses

Primary practice location

1400 Reed St
Philadelphia, PA 19146-4823

Mailing address

1409 Lombard St
Philadelphia, PA 19146-1656
Phone (215) 875-2187

Other identifiers 1

IdentifierTypeStateIssuer
100000193MedicaidPA

Other names 1

  • CATCH, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628000203 PA Part B Supplier - Clinic/Group Practice 6204812563 Receives reassigned benefits from 5 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1409 Lombard St
Fl 4
Philadelphia, PA 19146
Phone (215) 735-7423

1409 Lombard St
Fl Fourth
Philadelphia, PA 19146

1409 Lombard St
Fl 3
Philadelphia, PA 19146

1409 Lombard St
Philadelphia, PA 19146
Phone (215) 735-7422

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1396715009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 LOMBARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461656",
            "telephone_number": "215-875-2187",
            "fax_number": "215-545-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 REED ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191464823",
            "telephone_number": "215-755-0500",
            "fax_number": "215-755-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN'S ACTING TOGETHER CAN HELP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-875-2183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "191020",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "123980",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "187880",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "191020",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "191020",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "191020",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "191020",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "123980",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "191020",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "123980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000193",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATCH, 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 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.