NPIMap

Organization Active NPI

John F. Kennedy Community MH/Mr Center

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1619088788
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOHN F. KENNEDY COMMUNITY MH/MR CENTER
Practice address
112 N Broad St
Philadelphia, PA 19102-1510
Phone
(215) 568-0860
Fax
(215) 568-0769
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Fari Thompson, LCS
Title
Director
Phone
(215) 568-0860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X PA Primary

Addresses

Primary practice location

112 N Broad St
Philadelphia, PA 19102-1510

Mailing address

112 N Broad St
Philadelphia, PA 19102-1510
Phone (215) 568-0860

National Provider Directory

National Provider Directory
Tax ID family
John F Kennedy Community MHMR Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

112 N Broad St
Philadelphia, PA 19102
Phone (215) 568-0622

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619088788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021510",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021510",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. KENNEDY COMMUNITY MH/MR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "FARI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-568-0860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": null,
            "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 21, 2022; 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.