Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Behavioral Medicine Inc

Organization Mental Health Counselor · NPI 1346473196

Northeast Behavioral Medicine Inc is a Mental Health Counselor in Philadelphia, Pennsylvania. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
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

6800 Castor Ave Ste D
Philadelphia, PA 19149-2100
Phone: (215) 904-8748
Fax: (215) 904-8691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X
Mental Health Counselor Taxonomy 101YM0800X
Counseling Psychologist Taxonomy 103TC1900X

Record details

NPI number1346473196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rick Nelson — Provider Relations · (215) 904-8748
NPI enumeratedAugust 27, 2009
Last updated in NPPESJune 22, 2010
Mailing address6800 Castor Ave, Suite D, Philadelphia, PA 19149-2100

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