Community Integrated Services is a Mental Retardation & Developmental Disabilities - Psychology Clinic in Philadelphia, Pennsylvania. It is located at 441 N 5th St Ste 101, Philadelphia, PA and its contact number is 215-870-7667. The authorized person for Community Integrated Services is Susan Schonfeld
who is Executive Director of the clinic and his/her contact number is 215-870-7667. Community Integrated Services Clinic
Complete Clinic Profile:
Community Integrated Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
441 N 5th St Ste 101, Philadelphia, Pennsylvania, 19123-4009
Phone:
215-870-7667
Fax:
215-238-7423
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Susan Schonfeld
Position:
Executive Director
Contact Number:
215-870-7667
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Community Integrated Services clinic are as mentioned below.
NPI Number:
1235738824
NPI Enumeration Date:
23 Oct, 2020
NPI Last Update On:
12 Mar, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Community Integrated Services are as mentioned below.
Specialization
License Number
State
Status
Mental Retardation & Developmental Disabilities
Primary
Rehabilitation
Secondary
Orientation and Mobility Training Provider
Secondary
Day Training, Developmentally Disabled Services
Secondary
In Home Supportive Care
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
250604976
Medicaid
Delaware
000000060
Medicaid
Delaware
000000057
Medicaid
Delaware
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Community Integrated Services 441 N 5th St Ste 101, Philadelphia, Pennsylvania
Zip:
19123-4009
Phone Number:
215-870-7667
Fax Number:
215-238-7423
Patients can reach Community Integrated Services at 441 N 5th St Ste 101, Philadelphia, Pennsylvania or can call to book an appointment on 215-870-7667. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.