Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

West Philadelphia Community Mh Consortium Inc

Organization Psychologist · NPI 1902926306

West Philadelphia Community Mh Consortium Inc provides Psychologist services in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Vine St Family Ct
Philadelphia, PA 19103-1117
Phone: (215) 596-8100
Fax: (215) 382-4405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1007155230074 (PA)

Record details

NPI number1902926306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John White — President Ceo · (215) 596-8100
Other names The Consortium Inc.
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3801 Market St, Suite 201, Philadelphia, PA 19104-3153

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