NPIMap

Organization Active NPI

Maternal Child Consourtium, Inc.

  • Community/Behavioral Health Agency
  • Feasterville-Trevose, PA
National Provider Identifier
1700357555
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MATERNAL CHILD CONSOURTIUM, INC.
Practice address
2055 Brownsville Road
Feasterville-Trevose, PA 19053-3532
Phone
(267) 525-7000
Fax
(267) 525-7010
NPI assigned
Dec 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Mr. Kenneth W. Brownell, R.P.H
Title
Ceo
Phone
(267) 525-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2055 Brownsville Road
Feasterville-Trevose, PA 19053-3532

Mailing address

800 Clarmont Avenue
Suite B
Bensalem, PA 19020-5705
Phone (267) 525-7000

Other identifiers 1

IdentifierTypeStateIssuer
1007762890001MedicaidPA

Other names 1

  • MCC, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maternal Chil Consortium Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

2055 Brownsville Rd
Langhorne, PA 19053
Phone (215) 322-7315

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1700357555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLARMONT AVENUE",
            "address_2": "SUITE B",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205705",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 BROWNSVILLE ROAD",
            "city": "FEASTERVILLE-TREVOSE",
            "state": "PA",
            "postal_code": "190533532",
            "telephone_number": "267-525-7000",
            "fax_number": "267-525-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL CHILD CONSOURTIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "BROWNELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-525-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P.H"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007762890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCC, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCC, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville-Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.