OrganizationActive
Northeast Behavioral Medicine Inc.
NPI 1346473196 · Addiction (Substance Use Disorder) Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1346473196
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rick Nelson, Provider Relations(215) 904-8748
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
Practice location
6800 Castor Ave
Suite D
Philadelphia, PA 19149-2100
Phone: (215) 904-8748
Fax: (215) 904-8691
Approximate (ZIP-level) locationGet directions
Mailing address
6800 Castor Ave
Philadelphia, PA 19149-2100
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2010-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.