NPIMap

Organization Active NPI

Community Council for Mental Health and Mental Retardation, Inc

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1467730671
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
121630 Issued in PA
Legal business name
COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION, INC
Practice address
4900 Wyalusing Ave
Main Building
Philadelphia, PA 19131-5127
Phone
(214) 473-7033
Fax
(215) 827-5276
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Rekiya Bell
Title
Director of Billing
Phone
(215) 473-7033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 121630 PA Primary

Addresses

Primary practice location

4900 Wyalusing Ave
Main Building
Philadelphia, PA 19131-5127

Mailing address

4900 Wyalusing Ave
Main Building
Philadelphia, PA 19131-5127
Phone (214) 473-7033

National Provider Directory

National Provider Directory
Tax ID family
Community Council36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

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

View all 35

Locations

4900 Wyalusing Ave
Philadelphia, PA 19131
Phone (215) 473-7033

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1467730671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WYALUSING AVE",
            "address_2": "MAIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315127",
            "telephone_number": "214-473-7033",
            "fax_number": "215-827-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WYALUSING AVE",
            "address_2": "MAIN BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315127",
            "telephone_number": "214-473-7033",
            "fax_number": "215-827-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNCIL FOR MENTAL HEALTH AND MENTAL RETARDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "REKIYA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "215-473-7033"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "121630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2011; 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.