Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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West Philadelphia Community Mh Consortium Inc

Organization Psychologist · NPI 1902926306

West Philadelphia Community Mh Consortium Inc is a Psychologist 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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