Community Integrated Services
Mental Retardation & Developmental Disabilities - Psychology Clinic
441 N 5th St Ste 101, Philadelphia
Pennsylvania, 19123-4009
215-870-7667 215-238-7423
Maps & DirectionsCommunity 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.
Name: | Community Integrated Services |
Specialization: | Mental Retardation & Developmental Disabilities Psychology |
Clinic Address: | 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 13 May, 2024.