NPIMap

Organization Active NPI

West Philadelphia Community MH Consortium, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1790804284
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.
Practice address
137 S 58TH St FL 2
Philadelphia, PA 19139-3134
Phone
(215) 596-8100
Fax
(215) 382-0511
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Twiggy Rodriguez
Title
President Ceo
Phone
(215) 596-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 1007155230023 PA
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

137 S 58TH St FL 2
Philadelphia, PA 19139-3134

Mailing address

3751 Island Ave Ste 303
Philadelphia, PA 19153-3237
Phone (215) 596-8100

Other practice location 1

2821 Island Ave Ste 106-108
Philadelphia, PA 19153-2300
Phone (215) 596-8100

Other identifiers 3

IdentifierTypeStateIssuer
1007155230023MedicaidPA
1007155230095MedicaidPA
1007155230121MedicaidPA

Other names 1

  • The Consortium Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Consortium Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

26 S 40th St
Philadelphia, PA 19104
Phone (215) 596-8300

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1790804284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 ISLAND AVE STE 303",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533237",
            "telephone_number": "215-596-8100",
            "fax_number": "215-382-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S 58TH ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393134",
            "telephone_number": "215-596-8100",
            "fax_number": "215-382-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Island Ave Ste 106-108",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191532300",
            "country_code": "US",
            "telephone_number": "215-596-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST PHILADELPHIA COMMUNITY MH CONSORTIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "TWIGGY",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "215-596-8100"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "1007155230023",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007155230023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007155230095",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007155230121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Consortium Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Consortium 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 Apr 9, 2026; 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.