Northeast Community Center for Mental Health-Mental Retardation I
NPI 1306907704 · Adult Mental Health Clinic/Center · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Community Center for Mental Health-Mental Retardation I is a Adult Mental Health Clinic/Center organization in Philadelphia, PA (NPI 1306907704).
Provider details
- NPI number
- 1306907704
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Como, Executive Director(215) 831-2800
- License
- 121890 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2014-07-09
Frequently asked questions
- What is Northeast Community Center for Mental Health-Mental Retardation I's NPI number?
- Northeast Community Center for Mental Health-Mental Retardation I's National Provider Identifier (NPI) is 1306907704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Community Center for Mental Health-Mental Retardation I?
- Northeast Community Center for Mental Health-Mental Retardation I is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northeast Community Center for Mental Health-Mental Retardation I located?
- Northeast Community Center for Mental Health-Mental Retardation I's practice location on file with NPPES is 4641 Roosevelt Blvd, Philadelphia, PA 19124-2343.
- What is Northeast Community Center for Mental Health-Mental Retardation I's phone number?
- The practice phone number listed in the NPPES registry for Northeast Community Center for Mental Health-Mental Retardation I is (215) 831-2800.
- Does Northeast Community Center for Mental Health-Mental Retardation I accept Medicare?
- Northeast Community Center for Mental Health-Mental Retardation I is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Community Center for Mental Health-Mental Retardation I?
- The authorized official listed on Northeast Community Center for Mental Health-Mental Retardation I's NPPES record is David Como, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Community Center for Mental Health-Mental Retardation I's NPI active?
- Yes — Northeast Community Center for Mental Health-Mental Retardation I's NPI (1306907704) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.