Organization Active NPI

Empowerment Resource Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1992889562
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
132910 Issued in PA
Legal business name
EMPOWERMENT RESOURCE ASSOCIATES, INC.
Practice address
1733 Spring Garden St FL 2
Philadelphia, PA 19130-3915
Phone
(215) 564-0680
Fax
(215) 564-0680
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mrs. Judy Henderson, MHS, MSNPI 1063901718
Title
Exective Director and President
Phone
(215) 564-0680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 132910 PA Primary

Addresses

Primary practice location

1733 Spring Garden St FL 2
Philadelphia, PA 19130-3915

Mailing address

1733 Spring Garden St FL 2
Philadelphia, PA 19130-3915
Phone (215) 564-0680

Other identifiers 1

IdentifierTypeStateIssuer
01791830OtherPADEPT. OF PUBLIC WELFARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070203000041 PA Part B Supplier - Clinic/Group Practice 5395747364 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1080 N Delaware Ave
Ste 202
Philadelphia, PA 19125
Phone (215) 425-7727

1822 Spring Garden St
Side 2
Philadelphia, PA 19130
Phone (215) 564-0680

461 N 3rd St
Ste 301
Philadelphia, PA 19123
Phone (215) 596-0892

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1992889562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SPRING GARDEN ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303915",
            "telephone_number": "215-564-0680",
            "fax_number": "215-564-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 SPRING GARDEN ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303915",
            "telephone_number": "215-564-0680",
            "fax_number": "215-564-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT RESOURCE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR AND PRESIDENT",
        "authorized_official_telephone_number": "215-564-0680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHS, MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "132910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF PUBLIC WELFARE",
            "identifier": "01791830",
            "state": "PA"
        }
    ],
    "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 23, 2008; 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.