PURPOSEFUL CHANGE, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 9874 Ferndale St, Philadelphia, PA 19115-1941

PURPOSEFUL CHANGE, INC (NPI# 1902499924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902499924
Entity Type Organization
Organization Name PURPOSEFUL CHANGE, INC
Practice Address 9874 Ferndale St
Philadelphia
PA 19115-1941
Practice Telephone 2672784063
Mailing Address 9874 Ferndale St
Philadelphia
PA 19115-1941
Mailing Telephone 2672784063
Certification Date 2021-02-14
Enumeration Date 2021-02-19
Last Update Date 2021-02-19
Authorized Official Telephone 2672784063
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
CONNECT URL Philadelphia 9874 Ferndale St, Philadelphia, PA 191151941 Direct CSV

Office Location

Street Address 9874 FERNDALE ST
City PHILADELPHIA
State PA
Zip Code 19115-1941

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992291710 Paulette Chobot Counselor · Professional 9874 Ferndale St, Philadelphia, PA 19115-1941 2018-07-04

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
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1740747641 Comfort Ride Transit Inc Non-emergency Medical Transport (VAN) 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 2019-02-27
1386101400 Ashley Thomas Physician Assistant · Medical 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 2019-02-25
1659857027 Kiesha Anita Abney Occupational Therapy Assistant Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 2018-07-18
1457844870 Philadelphia Discount Pharmacy LLC Pharmacist 842 Red Lion Road Unit 13, Philadephia, PA 19115 2018-06-11
1770001828 Ciarra Bell Occupational Therapist 828 Red Lion Rd, Philadelphia, PA 19115 2017-09-08
1144750944 Meredith Ann Jones Dentist · General Practice 240 Geiger Rd, Philadelphia, PA 19115 2017-06-14
1689127573 Andrea Frantz Student in an Organized Health Care Education/Training Program 211 Geiger Rd, Philadelphia, PA 19115 2016-07-27
1245604008 Saria Ibrahim Counselor 9651 Clark Street, Philadelphia, PA 19115 2015-11-17
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1689297012 Prosper Counseling LLC 4617 Woodland Ave, Philadelphia, PA 19143-3836 2020-05-20
1467073924 Childfirst Services, Inc. 2021 N 63rd St Ste 300, Philadelphia, PA 19151-2609 2020-05-06
1760002000 Spilove Philadelphia, LLC 1601 Walnut St Ste 1007, Philadelphia, PA 19102-2906 2020-04-16
1144856915 Text and Online Counseling 3900 City Ave Apt M802, Philadelphia, PA 19131-5701 2020-03-12
1730719733 Jaclyn E. Jacobs LLC 401 S 2nd St Ste 401, Philadelphia, PA 19147-1612 2020-01-19
1801436522 Jenna Cotton, Lcsw LLC 525 S 4th St Ste 240d, Philadelphia, PA 19147-1573 2020-01-10
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Competitor

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City PHILADELPHIA
Zip Code 19115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.