NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION I
NORTHEAST COMMUNITY CENTER FOR MENTAL HEALTH-MENTAL RETARDATION I is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1306907704, based in Philadelphia, PA. The organization lists 2 taxonomy classifications, with Adult Mental Health Clinic/Center recorded as primary.
Getting there
The practice address on file is 4641 ROOSEVELT BLVD, Philadelphia, PA 19124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 121890 | PA | Adult Mental Health Clinic/Center primary |
| 121890 | PA | Adolescent and Children Mental Health… |
This provider holds licence 121890 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9931195450
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Mental Health covers
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NUCC Health Care Provider Taxonomy, code 261QM0850X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | 121890 | PA | primary |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 121890 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1306907704 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 12, 2006 |
| Last updated | Jul 9, 2014 |
| Status | Active |
| Practice address |
4641 ROOSEVELT BLVD Philadelphia, PA 19124 (215) 831-2800 Fax (215) 831-2929 |
| Other identifiers |
769146
· MEDICARE PTAN (PA) 1000034170051 (PA) 169773 · MEDICARE PTAN (PA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 0 | 6 | 9 | 0 | 7 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 0 | 6 | 9 | 0 | 5 | 7 | 0 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.