OrganizationActive
Community Council
NPI 1407079742 · Community/Behavioral Health Agency · Philadelphia, PA
Provider details
- NPI number
- 1407079742
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- James Paige, Chief Information Officer(215) 473-7033
- License
- 121630 (PA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
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
2498 W Diamond St
Philadelphia, PA 19121-1311
Phone: (215) 684-5081
Fax: (215) 684-8995
Street-level locationGet directions
Mailing address
4900 Wyalusing Ave
Philadelphia, PA 19131-5127
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2008-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.