OrganizationActive
Intercommunity Action, Inc.
NPI 1992353197 · Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA
Provider details
- NPI number
- 1992353197
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Cohen, Ceo/President(215) 487-0906
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
4030 Brown St
Philadelphia, PA 19104-4844
Phone: (215) 487-0904
Street-level locationGet directions
Mailing address
6012 Ridge Ave
Philadelphia, PA 19128-1643
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.