Intercultural Family Services, Inc.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

105010 Issued in PA

Legal business name

INTERCULTURAL FAMILY SERVICES, INC.

Practice address

4254-56 Chestnut Street
Philadelphia, PA 19104

Phone

(215) 386-8490

Fax

(215) 386-8494

NPI assigned

Jan 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evelyn Marcha-Hidalgo

Title

Ceo, Executive Director

Phone

(215) 386-1298

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Intercultural2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Intercultural Family Services Inc.

  dba Intercultural

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1306287941
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/ifsinc/r4/

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Consolacion A Alcantara, MD

  • Psychiatry Physician
  • Norristown, PA
  • NPI 1811069834
  Medicare reassignment NPD
• Priyankar Sarkar, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1215149661
  Medicare reassignment NPD
• Michel Bien-Aime, MD

  • Psychiatry Physician
  • Phila, PA
  • NPI 1225084411
  Medicare reassignment
• Rommel Lubiano Rivera, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1619098159
  NPD (past)
• Takahide Tanaka, MSW

  • Social Worker
  • Philadelphia, PA
  • NPI 1881246197

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467505065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043014",
            "telephone_number": "215-386-1298",
            "fax_number": "215-386-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254-56 CHESTNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-386-8490",
            "fax_number": "215-386-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCULTURAL FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARCHA-HIDALGO",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "CEO, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-386-1298"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PA",
            "license": "105010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016434P8G",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interim House Inc
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• Amy Renee Intermont, PA-C
• International Education Center, Inc.

• Health Service Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Health Service Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.