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

Northeast Community Center for Mental Health & Mental Retardation

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1336296706

Northeast Community Center for Mental Health & Mental Retardation is a Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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Practice location Address checks out

4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone: (215) 831-2800
Fax: (215) 831-2929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X · Licence 121920 (PA)

Record details

NPI number1336296706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Howard Kaufman — Executive Direcotr · (215) 831-2800
NPI enumeratedJanuary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4641 Roosevelt Blvd, Philadelphia, PA 19124-2343

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